Individual
DR. BERTRAM HENRY GERALD ROGERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 NORTH LAKE SHORE DR, SUITE 406, CHICAGO, IL 60611-3493
(312) 828-9747
(312) 828-9761
Mailing address
505 NORTH LAKE SHORE DR, SUITE 406, CHICAGO, IL 60611-3493
(312) 828-9747
(312) 828-9761
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03604176
—
IL
Enumeration date
04/26/2006
Last updated
07/08/2007
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