DR. JEFFREY DAVID ROTH MD NPI 1396752721

NPI Information

DR. Jeffrey David Roth, MD is an addiction psychiatry psychiatry neurology in Chicago, IL. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. DR. Jeffrey David Roth, MD NPI is 1396752721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25 E WASHINGTON ST
SUITE 1811
CHICAGO, IL
ZIP 60602-708
Phone: (312) 444-1041
Fax: (312) 444-1048

The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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