1215919816 Terry Roth

Neurology Physician

Active

Basic Information

Full Name
Terry Roth
Gender
Male
Enumeration Date
November 18, 2005
Last Update
May 22, 2008

Practice Location

Address
4920 EAST STATE ST
ROCKFORD, IL 61108
Phone
(815) 226-1906
Fax
(815) 226-8474

Mailing Address

Address
4920 EAST STATE ST
ROCKFORD, IL 61108
Phone
(815) 226-1906
Fax
(815) 226-8474

Specialties & Taxonomies

Specialty Code Classification License State Primary
Neurology Physician
Neurology
2084N0400X Psychiatry & Neurology 36059503 IL Primary

Other Identifiers

Identifier Type State Issuer
0010100550 01 IL BCBS
791133579 01 IL RETIRED RAILROAD
009771 01 IL HEALTH ALLIANCE
036059503 05 IL N/A

Frequently Asked Questions

What is Terry Roth's NPI number?
Terry Roth's NPI number is 1215919816.
Which doctor has NPI number 1215919816?
The doctor with NPI number 1215919816 is Terry Roth.
What is Terry Roth's practice address?
Terry Roth's practice address is 4920 EAST STATE ST, ROCKFORD, IL, 61108.
Which doctor practices at 4920 EAST STATE ST, ROCKFORD, IL, 61108?
Terry Roth practices at 4920 EAST STATE ST, ROCKFORD, IL, 61108.
What is Terry Roth's phone number?
Terry Roth's phone number is (815) 226-1906.
Who is (815) 226-1906?
(815) 226-1906 is the phone number for Terry Roth.
What is Terry Roth's specialty?
Terry Roth's specialty is Neurology Physician.
What type of doctor is Terry Roth?
Terry Roth is a Neurology Physician.
Is Terry Roth a Neurology?
Yes, Terry Roth is a Neurology.
Is Terry Roth still practicing?
Yes, Terry Roth is currently practicing.
Is Terry Roth accepting new patients?
Terry Roth may be accepting new patients. Please call their office at (815) 226-1906 to inquire about availability.
Is NPI 1215919816 still active?
Yes, NPI 1215919816 is currently active.
Where does Terry Roth practice?
Terry Roth practices in ROCKFORD, IL.
Is Terry Roth a male or female doctor?
Terry Roth is a male doctor.