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Taylor Rogers

Nurse Practitioner in Berwyn, IL. Individual provider (NPI-1).

NPI number1376389593
StatusActive
Last updated in NPPESNov 19, 2024

Details

NPI
1376389593
Entity type
Individual (NPI-1)
Name
Taylor Rogers
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 8, 2024
Certification date
Nov 19, 2024
Last updated
Nov 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner209.031043ILYes
163W00000X Registered Nurse04145647IL

Practice location

6840 W Windsor Ave
Berwyn, IL 60402-3486

Phone 708-484-0042

Mailing address

1642 N Artesian Ave Apt 2
Chicago, IL 60647-5309

Phone 317-670-1619

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Other Nurse Practitioner providers in Berwyn, IL

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