Individual
GLENDA RENEE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9239 GROSS POINT RD, SUITE 300, SKOKIE, IL 60077-1389
(847) 676-4447
(847) 676-4450
Mailing address
5131 N WOLCOTT AVE, APT 2, CHICAGO, IL 60640-2612
(847) 676-4447
(847) 676-4450
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000749
IL
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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