JIMMIE SHAWN ROGERS

WAUKEGAN, IL
NPI1437494465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043110941)
Enumeration Date2012-12-03
Last Update Date2012-12-03
Business Address
-- JIMMIE SHAWN ROGERS
3002 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8200
Mailing Address
-- JIMMIE SHAWN ROGERS
3002 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8200