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Contact Information

JAMES G ROTH, OD
6857 S PULASKI RD
CHICAGO, IL60629-4151
 Phone: 773-767-5000
 Fax: 773-767-5176
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JAMES G ROTH · (Male)

NPI Number 1013071075
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/21/2006
Last updated 10/09/2008 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 046008029
  • IL Medicaid 046008029
  • IL Other 08127171 BCBS OF IL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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