Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Zahava G Roth, PA-C, RD

Individual provider Registered Dietitian · NPI 1033751169

Zahava G Roth, PA-C, RD is a Physician Assistant in Chicago, Illinois. Qualified in 2023, 3 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1300 W Devon Ave
Chicago, IL 60660-1302
Phone: (773) 751-7850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085.010009 (IL)
Registered Dietitian Taxonomy 133V00000X · Licence 164009188 (IL)

Record details

NPI number1033751169
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , RD
Sole proprietorYes
NPI enumeratedOctober 9, 2019
Last updated in NPPESOctober 15, 2023
Certification dateOctober 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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