SearchIllinois133V00000X

Stacy Roth, RD, LDN, MPH

NPI 1427189075 · on the registry since 2007 · sole proprietor

Practice

Address
9039 W Church St
Apt 1h
Des Plaines, IL 60016
Phone
(630) 201-3847

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois