Jeffrey David Roth in Chicago - Addiction Psychiatry
Jeffrey David Roth - NPI 1396752721
Jeffrey David Roth is a Addiction Psychiatry in Chicago, Illinois. Jeffrey David Roth practices all healthcare services and medical treatments related to Addiction Psychiatry. The NPI Number for Jeffrey David Roth is 1396752721. The last update date is 2007-07-08.
Jeffrey David Roth's current location address is 25 E Washington St, Chicago, Illinois. You can contact this provider via phone number 3124441041 and fax number 3124441048. The mailing address for Jeffrey David Roth is 25 E Washington St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey David Roth |
|---|---|
| Address | 25 E Washington St, Chicago, Illinois |
| Phone Number | 3124441041 |
| Fax Number | 3124441048 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396752721 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25 E Washington St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606021708 |
| Phone Number | 3124441041 |
| Fax Number | 3124441048 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Psychiatry |
|---|---|
| Taxonomy | 2084P0802X |
|
Definition: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric d |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31600526 | IL | BC/BS |
Post Comment/ Review Below
What is the unique identification code assigned to Jeffrey David Roth by the Centers for Medicare & Medicaid Services?
The Jeffrey David Roth has been issued the NPI (National Provider Identifier) 1396752721. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jeffrey David Roth?
The Jeffrey David Roth is physically situated at 25 E Washington St, in the city of Chicago, state of IL, with the postal code 606021708.
What is Jeffrey David Roth's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey David Roth's specialized field of practice is Addiction Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0802X.
On what date did the Jeffrey David Roth receive the assignment of its 1396752721 from the Centers for Medicare & Medicaid Services?
The Jeffrey David Roth was issued its 1396752721 by the Centers for Medicare & Medicaid Services on 2006-08-01.
As of what date were the Jeffrey David Roth's details last updated?
The information pertaining to the Jeffrey David Roth, including its address, specialty, and other details, was most recently updated on 2007-07-08.