Doctor Name: | HOWARD I ROTH |
NPI Number: | 1043381239 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 350 N Wall St Kankakee, IL - 609012901 |
Business Phone Number: | 8159331671 |
Business Fax Number: | |
Mailing Address: | 2122 W Bradley Pl, CHICAGO |
State: | IL |
Postal Code: | 606184910 |
Phone Number: | 8159357525 |
Fax Number: | |
NPI Enumeration Date: | 11/11/2006 |
NPI Last Update Date: | 01/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0204X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Vascular & Interventional Radiology |
Taxonomy 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. |