Individual
MR. STEVEN D ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/LAT
Contact information
Practice address
15635 S 94TH AVE, ORLAND PARK, IL 60462-4722
(708) 460-8588
(708) 460-8788
Mailing address
8616 WASHINGTON AVE, BROOKFIELD, IL 60513-1423
(708) 906-8985
(708) 460-8788
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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