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Dr. Howard I Roth, MD
Vascular & Interventional Radiology Physician in Kankakee, Illinois
NPI 1043381239

Howard I Roth is a Vascular & Interventional Radiology Physician based in East Peoria, IL and is specialized in Vascular & Interventional Radiology. Howard I Roth practices in Kankakee, IL and has the professional credentials of MD. The NPI Number for Howard I Roth is 1043381239 and holds a License No. 036079163 (Illinois).

The current practice location address for Howard I Roth is 350 N Wall St, Kankakee, IL and can be reached out via phone at 815-933-1671.

Location: 350 N Wall St, Kankakee, IL, 61611-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043381239
Provider Name
Howard I Roth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
350 N Wall St, Kankakee, IL, 61611-1853
Phone Number
815-933-1671
Fax Number
Provider Enumeration Date
11/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036079163 05 IL
4615054 01 IL BCBS ID
institution
Provider Business Practice Location Address Details
Address
350 N Wall St
City
Kankakee
State
Illinois
Zip
60901-2901
Phone Number
815-933-1671
Fax Number
person
Provider Business Mailing Address Details
Address
350 N Wall St
City
Kankakee
State
Illinois
Zip
60901-2901
Phone Number
815-933-1671
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036079163 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
036079163 (Illinois)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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