Individual
JARED ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
702 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(309) 557-1400
(309) 557-1461
Mailing address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
(888) 924-3786
(309) 820-3574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036084031
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023284
HEALTH ALLIANCE
IL
05
—
036084031
—
IL
05
—
0360840311
—
IL
01
—
080190838
RAILROAD MEDICARE
IL
01
—
36084031
BCBS
IL
01
—
472301
HEALTHLINK
IL
01
—
7215059
BCBS PPO
IL
01
—
IL01N1
JOHN DEERE
IL
Enumeration date
08/01/2006
Last updated
03/20/2026
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