Individual
DR. HOWARD I ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 933-1671
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036079163
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036079163
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079163
—
IL
01
—
4615054
BCBS ID
IL
Enumeration date
11/11/2006
Last updated
12/04/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us