Individual
ALEXA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Mailing address
2848 N CLARK ST APT 4, CHICAGO, IL 60657-5208
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013819
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146013819
IDFPR
IL
Enumeration date
10/20/2017
Last updated
10/20/2017
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