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

Terry Roth

Individual provider Neurology Physician · NPI 1215919816

Terry Roth is a Neurology Physician in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005

Practice location Address checks out

4920 E State St
Rockford, IL 61108
Phone: (815) 226-1906
Fax: (815) 226-8474
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 36059503 (IL)

Record details

NPI number1215919816
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESMay 22, 2008
Mailing address4920 East State St, Rockford, IL 61108

Other providers in Rockford