Individual
DR. ANTHONY V ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
740 W DIVERSEY PKWY, CHICAGO, IL 60614-1550
(773) 929-1097
(773) 929-9934
Mailing address
740 W DIVERSEY PKWY, CHICAGO, IL 60614-1550
(773) 929-1097
(773) 929-9934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051040992
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
361924025
TAX ID
IL
Enumeration date
12/10/2011
Last updated
12/10/2011
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