Individual
TASIA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7733 W GRAND AVE, ELMWOOD PARK, IL 60707-1820
(708) 452-9200
Mailing address
10111 S VAN VLISSINGEN RD, CHICAGO, IL 60617-5638
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.033963
IL
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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