Individual
CAITLIN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 FOXFIELD RD, ST CHARLES, IL 60174-5799
(630) 513-8275
(630) 513-9208
Mailing address
2900 FOXFIELD RD, ST CHARLES, IL 60174-5799
(630) 513-8275
(630) 513-9208
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013268
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
F400251744
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
08/21/2015
Last updated
11/19/2015
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