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Individual

STACEY ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3100 THEODORE ST STE 201, JOLIET, IL 60435-0605
(815) 744-5550
Mailing address
120 W 22ND ST, OAK BROOK, IL 60523-1557
(630) 573-5000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209016683
IL

Other

Enumeration date
10/30/2017
Last updated
04/29/2025
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