Individual
TAYLOR ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6840 W WINDSOR AVE, BERWYN, IL 60402-3486
(708) 484-0042
Mailing address
1642 N ARTESIAN AVE APT 2, CHICAGO, IL 60647-5309
(317) 670-1619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
04145647
IL
363L00000X
Nurse Practitioner
Primary
209.031043
IL
Other
Enumeration date
07/08/2024
Last updated
11/19/2024
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