Individual provider · Type 1 NPI

Terry Roth

Neurology Physician · Rockford, IL

NPI number 1215919816 Active

Practice location

4920 East State St
Rockford, IL 61108

Call (815) 226-1906 Map

Fax (815) 226-8474

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X36059503 (IL)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1215919816

Terry Roth's National Provider Identifier is 1215919816, issued on Nov 18, 2005. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Rockford, IL. The record was last updated on May 22, 2008.