Individual
DR. JAY RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4833 CHURCH ST, SKOKIE, IL 60077-1357
(847) 673-7118
(847) 673-4709
Mailing address
2703 W RIVERVIEW PKWY, CHICAGO, IL 60618-1047
(773) 267-0810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-026122
IL
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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