Michael Rogers Md Sc

Psychiatry · Glen Ellyn, IL

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At a glance

480 Fairview Ave, Glen Ellyn, IL 60137

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

480 Fairview Ave
Glen Ellyn, IL 60137
Professional details: NPI, taxonomy & registry record
NPI1003995051
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Registry details

Primary taxonomy
Psychiatry
Taxonomy code
2084P0800X
Enumeration date
Nov 2, 2006
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Psychiatry

2084P0800X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

480 Fairview Ave
Glen Ellyn, IL 60137
Phone
(630) 790-1051
Fax
(708) 848-4019
Mailing address
480 FAIRVIEW AVE

GLEN ELLYN, IL 60137
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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