Individual
BRYAN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5333 N SHERIDAN RD, CHICAGO, IL 60640-7371
(847) 864-1936
Mailing address
3721 N ASHLAND AVE, CHICAGO, IL 60613-6937
(309) 397-7436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008703
IL
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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