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NPI Code Detail

MEDICARE: MS. ANGELA D ROGERS FNP, MSN

MEDICARE:  MS. ANGELA D ROGERS  FNP, MSN
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
1363LF0000XFamily Nurse Practitioner209-004974IL

General Provider Information

NPI Number : 1679503429
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA D ROGERS FNP, MSN
Provider Business Mailing Address
First Line : 30 W MONROE ST STE 1200
Second Line :
City : CHICAGO
State : IL
Zip : 60603-2420
Country : US
Telephone Number : 312-733-9730
Fax Number : 773-866-8014
Provider Business Practice Location Address
First Line : 1541 W DEVON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-1313
Country : US
Telephone Number : 773-250-5222
Fax Number : 773-866-8018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 08/14/2020

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