Organization
WORKING SOBRIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DAVID ROTH MD (MEDICAL DIRECTOR)
(312) 782-6466
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST, 1811, CHICAGO, IL 60602-1708
(312) 782-6466
(312) 444-1048
Mailing address
25 E WASHINGTON ST, 1811, CHICAGO, IL 60602-1708
(312) 782-6466
(312) 444-1048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
036059165
IL
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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