Individual
AMANDA J. ROGDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1404 WASHINGTON ST, MENDOTA, IL 61342-1471
(815) 538-1825
(815) 538-2524
Mailing address
1315 MEMORIAL DR, MENDOTA, IL 61342-1447
(815) 539-7461
(815) 538-5516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
09/02/2006
Last updated
07/13/2007
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