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1033621024
STACEY ROGERS
JOLIET, IL
NPI
1033621024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209016683)
Enumeration Date
2017-10-30
Last Update Date
2018-09-25
Business Address
STACEY ROGERS
2319 MANHATTAN RD
JOLIET, IL 60433-8605
Phone number: 708-223-2698
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Mailing Address
STACEY ROGERS
534 PLAINFIELD RD
WILLOWBROOK, IL 60527-5342
Phone number: 773-921-8000
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