Individual
DR. TIMOTHY J ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22285 N PEPPER RD STE 201, LAKE BARRINGTON, IL 60010-2540
(473) 825-0808
Mailing address
22285 N PEPPER RD, STE 201, LAKE BARRINGTON, IL 60010-2540
(847) 382-5080
(847) 382-0923
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-129291
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129291
—
IL
05
—
981453100
—
MN
Enumeration date
01/23/2006
Last updated
12/28/2021
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