NPI 1104053982

Erlo Roth, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Hinsdale, IL

Practice location

Address: 120 E Ogden Ave STE 14, Hinsdale, IL 60521-3544
Phone: (630) 986-9622
Fax: (630) 986-0720

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 036050827 (IL)

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Registry record

NPI: 1104053982
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2009
Record last updated: 18 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.