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DR. JASON ROTH MD
NPI 1104199868
Otolaryngology in Chicago, IL

Active since February 10, 2012
1725 W HARRISON ST STE 340, CHICAGO, IL 60612(312) 664-6715(312) 563-0165 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jason Roth Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON ROTH MD (NPI 1104199868) is an individual otolaryngology provider in Chicago, Illinois, licensed in Illinois (125060683) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1104199868
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JASON ROTHCredential: MD
Location Address1725 W HARRISON ST STE 340Chicago, IL 60612-3852
Mailing Address225 N Columbus Dr Apt 4912Chicago, IL 60601-5232 · (630) 574-8222 · Fax (630) 574-1516
Phone(312) 664-6715
Fax(312) 563-0165
Sole ProprietorNo
Enumeration DateFebruary 10, 2012
✔ NPI 1104199868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IL · 125060683
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1725 W HARRISON ST STE 340, Chicago, IL 60612
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT MILTON BUMSTED M.D.
Otolaryngology
1725 W HARRISON ST STE 340
CHICAGO, IL 60612
Cook County (312) 664-6715
GRACE MOONEY-MELVIN LCSW
Social Worker (Clinical)
1725 W HARRISON ST STE 340
CHICAGO, IL 60612
Cook County (312) 563-3913

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Roth's NPI number?

The NPI number for Jason Roth is 1104199868. It was assigned to this individual provider in the NPPES registry on February 10, 2012.

Where is Jason Roth located?

Jason Roth practices at 1725 W Harrison St Ste 340, Chicago, IL 60612. The listed phone number is (312) 664-6715.

What is Jason Roth's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Jason Roth was last updated on February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.