Individual
BRIDGET KATHLEEN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1765 N ELSTON AVE STE 206, CHICAGO, IL 60642-1501
(312) 399-0370
Mailing address
659 W RANDOLPH ST APT 1712, CHICAGO, IL 60661-2251
(630) 880-8056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.006820
IL
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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