Gary J Rogers Dpm Pc

NPI 1487879797 - Podiatrist - 213E00000X

NPI Details
NPI 1487879797
Enumeration Date 04/13/2007
Last Updated 09/18/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GARY GARY
Position OWNER
Phone (847) 256-4434
Fax (847) 256-4437
Practice Location
1919 LAKE AVE STE A
WILMETTE IL, 60091-1422, US
Phone (847) 256-4434
Fax (847) 256-4437
Business Location
1919 LAKE AVE STE A
WILMETTE IL, 60091-1422, US
Phone (847) 256-4434
Fax (847) 256-4437
Toxanomy
Taxonomy Code 213E00000X
License State Illinois
License Number 016004888
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According to our database, Gary J Rogers Dpm Pc NPI is 1487879797, taxonomy code is 213E00000X and license number is 016004888, license state is located at Illinois. Gary J Rogers Dpm Pc physically located at 1919 Lake Ave Ste A, Wilmette IL, 60091-1422. NPI Number 1033115704 has the healthcare provider type.

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1487879797 NPI number is provided on an as is basis without warranty of any kind. 1487879797 is maintained by the National Plan & Provider Enumeration System. The contents of Gary J Rogers Dpm Pc are for informational purposes only.