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Individual

DR. ERLO ROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 E OGDEN AVE STE 14, HINSDALE, IL 60521-3544
(630) 986-9622
(630) 986-0720
Mailing address
120 E OGDEN AVE STE 14, HINSDALE, IL 60521-3544
(630) 986-9622
(630) 986-0720

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036050827
IL

Other

Enumeration date
06/18/2009
Last updated
06/18/2009
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