Individual
JOHN CHARLES ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10522 S CICERO AVE, SUITE 404, OAK LAWN, IL 60453-5200
(708) 422-7733
Mailing address
10522 S CICERO AVE, SUITE 404, OAK LAWN, IL 60453-5200
(708) 422-7733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
018-019046
IL
Other
Enumeration date
01/21/2007
Last updated
06/18/2013
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