Individual
THERESA A ROGERS-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4241 STATE HIGHWAY 14, CHRISTOPHER, IL 62822-1037
(618) 724-2401
(618) 724-4628
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002815
IL
Other
Enumeration date
05/02/2007
Last updated
04/02/2026
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