Individual
KELLI ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 942-0312
Mailing address
600 S PAULINA ST, CHICAGO, IL 60612-3806
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125.086010
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
06/05/2025
Last updated
07/28/2025
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