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Individual

RONALD JAMES ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
18656 DIXIE HIGHWAY, HOMEWOOD, IL 60430
(708) 922-1541
(708) 922-1541
Mailing address
18656 DIXIE HIGHWAY, HOMEWOOD, IL 60430
(708) 922-1541
(708) 922-1541

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary
071001403
IL

Other

Enumeration date
09/20/2006
Last updated
06/24/2015
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