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John B. Roth JR., MD
Gynecology Physician in Morris, Illinois
NPI 1447396361

John B. Roth JR. is a Gynecology Physician based in Morris, IL and is specialized in Gynecology. John B. Roth JR. practices in Morris, IL and has the professional credentials of MD. The NPI Number for John B. Roth JR. is 1447396361 and holds a License No. 036044899 (Illinois).

The current practice location address for John B. Roth JR. is 107 W Jefferson St, Morris, IL and can be reached out via phone at 815-942-0683.

Location: 107 W Jefferson St, Morris, IL, 60450-2128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447396361
Provider Name
John B. Roth JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
107 W Jefferson St, Morris, IL, 60450-2128
Phone Number
815-942-0683
Fax Number
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036044899 05 IL
institution
Provider Business Practice Location Address Details
Address
107 W Jefferson St
City
Morris
State
Illinois
Zip
60450-2128
Phone Number
815-942-0683
Fax Number
person
Provider Business Mailing Address Details
Address
107 W Jefferson St
City
Morris
State
Illinois
Zip
60450-2128
Phone Number
815-942-0683
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
036044899 (Illinois)
Definition
Definition to come...
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