Individual
WILLIAM TEMPLE NEWING ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1920 FOOTBALL DR, HALAS HALL AT CONWAY PARK, LAKE FOREST, IL 60045-4829
(847) 739-5400
(847) 295-8953
Mailing address
1920 FOOTBALL DR, HALAS HALL AT CONWAY PARK, LAKE FOREST, IL 60045-4829
(847) 739-5400
(847) 295-8953
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002546
IL
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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