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Organization

MORRIS MEDICAL CENTER, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN B. ROTH JR. M.D. (PRESIDENT)
(815) 942-0683
Entity
Organization

Contact information

Practice address
107 W JEFFERSON ST, MORRIS, IL 60450-2128
(815) 942-0683
(815) 942-5624
Mailing address
107 W JEFFERSON ST, MORRIS, IL 60450-2128
(815) 942-0683
(815) 942-5624

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
IL

Other

Enumeration date
01/14/2008
Last updated
01/14/2008
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