Rogers Medical, Ltd | |
24012 W Renwick Rd 14 & 15 Plainfield IL 60544-8731 | |
(815) 436-9393 | |
(815) 436-9393 |
Full Name | Rogers Medical, Ltd |
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Speciality | Family Medicine |
Location | 24012 W Renwick Rd, Plainfield, Illinois |
Authorized Official Name and Position | Teresa Pecherek Rogers (PRESIDENT) |
Authorized Official Contact | 8154369393 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rogers Medical, Ltd 24012 W Renwick Rd 14 & 15 Plainfield IL 60544-8731 Ph: (815) 436-9393 | Rogers Medical, Ltd 24012 W Renwick Rd 14 & 15 Plainfield IL 60544-8731 Ph: (815) 436-9393 |
NPI Number | 1992992820 |
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Provider Enumeration Date | 09/25/2007 |
Last Update Date | 04/04/2013 |
Medicare PECOS PAC ID | 7214017748 |
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Medicare Enrollment ID | O20080109000407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992992820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036103443 (Illinois) | Primary |
Provider Name | Teresa Pecherek Rogers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114039831 PECOS PAC ID: 6406936939 Enrollment ID: I20080109000400 |
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