| Doctor Name: | BETH ROGERS |
| NPI Number: | 1922058726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | |
| Business Practice Address: | 1 Veterans Dr Manteno, IL - 609509466 |
| Business Phone Number: | 8154681027 |
| Business Fax Number: | |
| Mailing Address: | 701 S Chestnut St, WENONA |
| State: | IL |
| Postal Code: | 61377 |
| Phone Number: | 8158534688 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |