Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Terry R Roth MD PC

Organization Clinic/Center · NPI 1265601579

Terry R Roth MD PC is a Clinic/Center in Rockford, Illinois. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4920 E State St
Rockford, IL 61108-2272
Phone: (815) 226-1906
Fax: (815) 226-8474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1265601579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Roth — Owner · (815) 226-1906
NPI enumeratedFebruary 21, 2008
Last updated in NPPESJune 25, 2015
Mailing address4920 E State St, Rockford, IL 61108-2272

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