| Doctor Name: | CAROL P RODGERS |
| NPI Number: | 1831454537 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 041359149 |
| Business Practice Address: | 5201 Willow Springs Rd Suite 380 La Grange Highlands, IL - 605256537 |
| Business Phone Number: | 7083542550 |
| Business Fax Number: | 7083544552 |
| Mailing Address: | 5201 Willow Springs Rd, Suite 380 LA GRANGE HIGHLANDS |
| State: | IL |
| Postal Code: | 605256537 |
| Phone Number: | 7083542550 |
| Fax Number: | 7083544552 |
| NPI Enumeration Date: | 07/09/2012 |
| NPI Last Update Date: | 02/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WU0100X |
| License Number: | 041359149 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Urology |
| Taxonomy Definition: | |