Individual
JAUDON ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, IBCLC
Contact information
Practice address
1905 W FOSTER AVE # 2, CHICAGO, IL 60640-1025
(773) 609-0347
Mailing address
1905 W FOSTER AVE # 2, CHICAGO, IL 60640-1025
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041398844
IL
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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