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1396752721
JEFFREY DAVID ROTH
CHICAGO, IL
NPI
1396752721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0802X Psychiatry & Neurology, Addiction Psychiatry
(Licence: IL 036059165)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY DAVID ROTH MD
25 E WASHINGTON ST SUITE 1811
CHICAGO, IL 60602-1708
Phone number: 312-444-1041
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Mailing Address
Dr. JEFFREY DAVID ROTH MD
25 E WASHINGTON ST SUITE 1811
CHICAGO, IL 60602-1708
Phone number: 312-444-1041
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