Individual
BRAD R ROGOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 E 1ST ST, SPRING VALLEY, IL 61362-1512
(815) 223-1464
Mailing address
308 5TH AVE, MENDOTA, IL 61342-2123
(815) 538-5011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.119824
IL
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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