Organization
B. H. GERALD ROGERS, M.D., LTD
Active
Organization
B. H. GERALD ROGERS, M.D., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTRAM HENRYGERALD ROGERS M.D. (PRESIDENT)
(312) 828-9747
Entity
Organization
Contact information
Practice address
505 N LAKE SHORE DR, SUITE 406, CHICAGO, IL 60611-3493
(312) 828-9747
Mailing address
505 N LAKE SHORE DR, SUITE 406, CHICAGO, IL 60611-3493
(312) 828-9747
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036040176
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036040176
—
IL
Enumeration date
02/10/2010
Last updated
02/10/2010
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