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1104053982
ERLO ROTH
HINSDALE, IL
NPI
1104053982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL 036050827)
Enumeration Date
2009-06-18
Last Update Date
2009-06-18
Business Address
Dr. ERLO ROTH M.D.
120 E OGDEN AVE STE 14
HINSDALE, IL 60521-3544
Phone number: 630-986-9622
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Mailing Address
Dr. ERLO ROTH M.D.
120 E OGDEN AVE STE 14
HINSDALE, IL 60521-3544
Phone number: 630-986-9622
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