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Search › Illinois › 207P00000X

Gary Roth, MD

NPI 1992732648 · on the registry since 2006 · sole proprietor

Practice

Address
2200 E Washington St
Bloomington, IL 61701
Phone
(309) 661-5111
Organisation at this address
Cepamerica Illinois Llp
St Joseph Medical Center
St Joseph Medical Center
St Joseph Medical Center
St Joseph Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
103

Registry record

Primary taxonomy
207P00000X
207P00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-09-18

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