| Terry Roth, | |
|
4920 East State St, Rockford, IL 61108 | |
| (815) 226-1906 | |
| (815) 226-8474 |
| Full Name | Terry Roth |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4920 East State St, Rockford, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215919816 | NPI | - | NPPES |
| 0010100550 | Other | IL | BCBS |
| 791133579 | Other | IL | RETIRED RAILROAD |
| 009771 | Other | IL | HEALTH ALLIANCE |
| 036059503 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 36059503 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Roth, 4920 East State St, Rockford, IL 61108 Ph: (815) 226-1906 | Terry Roth, 4920 East State St, Rockford, IL 61108 Ph: (815) 226-1906 |
Jack Rodriquez, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6072 Brynwood Dr, Rockford, IL 61114 Phone: 815-636-0825 Fax: 815-636-2271 | |
Shahina H Jafry, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 526 W. State Street, Rockford, IL 61101 Phone: 815-968-9300 Fax: 815-968-5314 | |
Delsie Bella Gavali, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 526 W State Street, Rockford, IL 61101 Phone: 815-968-9300 Fax: 815-968-5314 | |
Carol L Craig, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 526 W State Street, Rockford, IL 61101 Phone: 815-968-9300 | |
Carol Stamp Dubois, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 526 W State Street, Rockford, IL 61101 Phone: 815-968-9300 Fax: 815-968-5314 | |
Dr. Steven Kouris, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1601 Parkview Ave, University Psychiatric Services, Rockford, IL 61107 Phone: 815-395-5870 Fax: 815-395-5644 | |
Dr. Mohsin Khan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2350 N Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 Phone: 815-971-7600 Fax: 815-971-9901 |