Individual
DR. JOSEPH FREDRICK ROGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2101 EASTLAND DR., SUITE E, BLOOMINGTON, IL 61704-3510
(309) 661-9123
(309) 661-9010
Mailing address
2101 EASTLAND DR., SUITE E, BLOOMINGTON, IL 61704-3510
(309) 661-9123
(309) 661-9010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0038-009932
IL
111N00000X
Chiropractor
Primary
038-009932
IL
Other
Enumeration date
11/02/2006
Last updated
05/13/2014
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