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1104199868
JASON ROTH
CHICAGO, IL
NPI
1104199868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: IL 125060683)
Enumeration Date
2012-02-10
Last Update Date
2012-02-10
Business Address
Dr. JASON ROTH MD
1725 W HARRISON ST STE 340
CHICAGO, IL 60612-3852
Phone number: 312-664-6715
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Mailing Address
Dr. JASON ROTH MD
225 N COLUMBUS DR APT 4912
CHICAGO, IL 60601-5232
Phone number: 630-574-8222
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