Individual
MS. SUSAN D RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
3220 W IL ROUTE 60, MUNDELEIN, IL 60060
(847) 837-8442
(847) 837-8542
Mailing address
3220 W IL ROUTE 60, MUNDELEIN, IL 60060
(847) 837-8442
(847) 837-8542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003202
IL
363AM0700X
Medical Physician Assistant
Primary
085003202
IL
363AS0400X
Surgical Physician Assistant
2482-023
WI
Other
Enumeration date
03/18/2009
Last updated
07/21/2022
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