Individual provider · Type 1 NPI

Benjamin Jacob Roth, PA-C

Physician Assistant · Oak Park, IL

NPI number 1649620352 Active

Practice location

3 Erie Ct
Oak Park, IL 60302-2519

Call (708) 763-6747 Map

Mailing address

2000 Green Rd, Ste 300
Ann Arbor, MI 48105-1598

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.005905 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1649620352

Benjamin Jacob Roth, PA-C's National Provider Identifier is 1649620352, issued on Jun 14, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oak Park, IL. The record was last updated on Aug 28, 2024.