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Individual

DR. WILLIAM HARRISON ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
PO BOX 100236, GAINESVILLE, FL 32610-0236
(352) 273-5550

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
ME146704
FL
2084N0400X
Neurology Physician
01091549A
IN
2084N0400X
Neurology Physician
Primary
036166727
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107572100
FL
Enumeration date
07/23/2013
Last updated
10/22/2025
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