Rogers, Gary John
Rogers, Gary John is an sole proprietor health care provider with primary practice located at 1921 Lake Ave Suite A, Wilmette IL 60091-1480. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Rogers, Gary John can be contacted via phone (847) 256-4434.Contact Information
Primary practice address
1921 Lake Ave Suite A
Wilmette IL 60091-1480
Phone: (847) 256-4434
Fax: (847) 256-4437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016004888 | Illinois |
Profile Details
| NPI number | 1558356097 |
|---|---|
| LBN Legal business name | Rogers, Gary John |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jul 22nd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558356097 | NPPES |
| Illinois | Other | 0021622507 | BCBS |
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