Dr. S Burton Roth , MD
Specialist • Oak Brook, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. S Roth has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. S Roth, MD was a registered Specialist practicing in Oak Brook, IL. Throughout an active medical career spanning 10 years, Dr. Roth provided care at the practice location at 307 MIDWEST CLUB PKWY until profile deactivation on 2022-03-30.
Practice Location & Contact Primary Location
307 Midwest Club Pkwy
Oak Brook, IL 605232527
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Oak Brook, IL
Practicing in Oak Brook, IL (1322 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 30, 2022
NPI status registered as active in NPPES database
Registered at 307 MIDWEST CLUB PKWY, OAK BROOK, IL 605232527 (Tel: 6308871664)
Registered at 307 MIDWEST CLUB PKWY, OAK BROOK, IL 605232527 (Tel: 6308871664)
Recorded as S ROTH, M.D.
Specialist (License #036-041664 in IL)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
307 Midwest Club Pkwy
Oak Brook, IL 605232527
Phone: 6308871664
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