| Julie Roth, Pllc | |
|
208 S 1st Ave Morton IL 61550-2044 | |
| (309) 585-6061 | |
| Not Available |
| Full Name | Julie Roth, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 208 S 1st Ave, Morton, Illinois |
| Authorized Official Name and Position | Julie Roth (PRESIDENT) |
| Authorized Official Contact | 3095856061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Roth, Pllc 147 Maple Ridge Dr Morton IL 61550-1121 Ph: (309) 712-6396 | Julie Roth, Pllc 208 S 1st Ave Morton IL 61550-2044 Ph: (309) 585-6061 |
| NPI Number | 1891379509 |
|---|---|
| Provider Enumeration Date | 05/09/2021 |
| Last Update Date | 05/09/2021 |
| Certification Date | 05/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891379509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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