Individual
MARSHALL D. ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
4700 W 95TH ST, SUITE LL6, OAK LAWN, IL 60453-2533
(708) 422-7600
Mailing address
4700 W 95TH ST, SUITE LL6, OAK LAWN, IL 60453-2533
(708) 422-7600
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198-000524
IL
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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