Individual
JASON TIMOTHY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
2501 COMPASS RD STE 125, GLENVIEW, IL 60026-8071
(847) 250-1130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029194
IL
Other
Enumeration date
06/25/2012
Last updated
03/07/2025
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