Individual
KRISTIN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3545 W 95TH ST, EVERGREEN PARK, IL 60805-2135
(708) 346-5562
Mailing address
3545 W 95TH ST, EVERGREEN PARK, IL 60805-2135
(708) 346-5562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.026476
IL
Other
Enumeration date
12/08/2021
Last updated
02/02/2023
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