Terry Roth is a Rockford, Illinois based neurologist who is specialized in Neurology. Active license number of Terry Roth is 36059503 for Neurology in Illinois. His current practice location is 4920 East State St, Rockford. Patients can reach him at 815-226-1906 or can fax him at 815-226-8474. Terry Roth NPI number (Unique professional ID assigned by NPPES) is 1215919816. Terry Roth specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Terry Roth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Terry Roth
Specialization:
Neurology
Gender:
Male
Practice Address:
4920 East State St, Rockford, Illinois, 61108
Phone:
815-226-1906
Fax:
815-226-8474
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1215919816
NPI Enumeration Date:
18 Nov, 2005
NPI Last Update On:
22 May, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Terry Roth are as mentioned below.
License Number
Specialization
State
Status
36059503
Neurology
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Terry Roth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0010100550
Other
Illinois
BCBS
791133579
Other
Illinois
RETIRED RAILROAD
009771
Other
Illinois
HEALTH ALLIANCE
036059503
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Terry Roth 4920 East State St, Rockford, Illinois
Zip:
61108
Phone Number:
815-226-1906
Fax Number:
815-226-8474
Patients can reach Terry Roth at 4920 East State St, Rockford, Illinois or can call to book an appointment on 815-226-1906.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.