Individual
COURTNEY D'NAY RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EARLY INTERVENTION
Contact information
Practice address
1333 BURR RIDGE PKWY, BURR RIDGE, IL 60527-6423
(630) 870-0631
(855) 811-0592
Mailing address
2820 WILLOW RD, HOMEWOOD, IL 60430-2821
(708) 207-1467
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
IL
235Z00000X
Speech-Language Pathologist
Primary
217000407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063868586
—
IL
Enumeration date
08/14/2018
Last updated
08/16/2019
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