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Susan Roth, MD
NPI 1063587624 · Pediatrics Physician · Evanston, IL
Susan Roth, MD is a Pediatrics Physician provider in Evanston, IL (NPI 1063587624).
Provider details
- NPI number
- 1063587624
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036073846 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Central St
Suite 765
Evanston, IL 60201-1777
Phone: (847) 570-1507
Fax: (847) 570-1577
Street-level locationGet directions
Mailing address
2650 Ridge Ave
Evanston, IL 60201-1718
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2020-10-06
- Certified
- 2020-10-06
Frequently asked questions
- What is Susan Roth's NPI number?
- Susan Roth's National Provider Identifier (NPI) is 1063587624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Roth's specialty?
- Susan Roth is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Susan Roth located?
- Susan Roth's practice location on file with NPPES is 1000 Central St, Evanston, IL 60201-1777.
- What is Susan Roth's phone number?
- The practice phone number listed in the NPPES registry for Susan Roth is (847) 570-1507.
- Is Susan Roth's NPI active?
- Yes — Susan Roth's NPI (1063587624) is active in the NPPES registry as of the last update on 2020-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.