Individual
ELIZABETH CAROL RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2820 WILLOW RD, HOMEWOOD, IL 60430
(708) 207-0479
Mailing address
2820 WILLOW RD, HOMEWOOD, IL 60430-2821
(708) 207-0479
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
ER38440818P
IL
Other
Enumeration date
07/16/2018
Last updated
01/24/2021
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