Individual
CONNOR ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCOP
Contact information
Practice address
3900 W 203RD ST, OLYMPIA FIELDS, IL 60461-1183
(708) 855-7082
Mailing address
3900 W 203RD ST, OLYMPIA FIELDS, IL 60461-1183
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
051.300423
IL
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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