IndividualActive
Howard Roth, M.D.
NPI 1043381239 · Vascular & Interventional Radiology Physician · Kankakee, IL
Provider details
- NPI number
- 1043381239
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036079163 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
350 N Wall St
Kankakee, IL 60901-2901
Phone: (815) 933-1671
Approximate (ZIP-level) locationGet directions
Mailing address
111 Oakwood Rd
East Peoria, IL 61611-1853
Registry dates
- Enumerated
- 2006-11-11
- Last updated
- 2023-12-04
- Certified
- 2023-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.