STEVEN D ROTH

ORLAND PARK, IL
NPI1720096811
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.001116)
Enumeration Date2006-08-04
Last Update Date2007-07-08
Business Address
Mr. STEVEN D ROTH ATC/LAT
15635 S 94TH AVE
ORLAND PARK, IL 60462-4722
Phone number: 708-460-8588
Mailing Address
Mr. STEVEN D ROTH ATC/LAT
8616 WASHINGTON AVE
BROOKFIELD, IL 60513-1423
Phone number: 708-906-8985
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