Individual
MR. RODGER M HOWARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3420 ILLINOIS STREET BLDG 1007, GREAT LAKES, IL 60088
(847) 688-6755
Mailing address
2086 B LEXINGTON AVE, GREAT LAKES, IL 60088
(361) 204-0502
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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