Individual provider · Type 1 NPI

Jason Roth, MD

Otolaryngology Physician · Chicago, IL

NPI number 1104199868 Active

Practice location

1725 W Harrison St Ste 340
Chicago, IL 60612-3852

Fax (312) 563-0165

Mailing address

225 N Columbus Dr Apt 4912
Chicago, IL 60601-5232

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X125060683 (IL)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1104199868

Jason Roth, MD's National Provider Identifier is 1104199868, issued on Feb 10, 2012. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 10, 2012.