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NPI Code Detail

MEDICARE: WHITNEY ELIZABETH ROGERS PT

MEDICARE: WHITNEY ELIZABETH ROGERS PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1558529099
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY ELIZABETH ROGERS PT
Provider Business Mailing Address
First Line : 4412 N DOVER ST
Second Line : #2
City : CHICAGO
State : IL
Zip : 60640-5527
Country : US
Telephone Number : 773-571-7243
Fax Number :
Provider Business Practice Location Address
First Line : 1644 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5412
Country : US
Telephone Number : 773-252-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2008
Last Update Date : 02/11/2022

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Directions to “ WHITNEY ELIZABETH ROGERS PT” Practice Location

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