IndividualActive
Gary Roth, MD
NPI 1992732648 · Emergency Medicine Physician · Bloomington, IL
Gary Roth, MD is a Emergency Medicine Physician provider in Bloomington, IL (NPI 1992732648).
Provider details
- NPI number
- 1992732648
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036052934 (IL)
Practice location
2200 E Washington St
Bloomington, IL 61701-4364
Phone: (309) 661-5111
Street-level locationGet directions
Mailing address
2538 Momentum Pl
Chicago, IL 60689-0001
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2009-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.