Michael Rogers MD SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MICHAEL ROGERS MD SC

Practice address

480 Fairview Ave
Glen Ellyn, IL 60137

Phone

(630) 790-1051

Fax

(708) 848-4019

NPI assigned

Nov 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Rogers, MD

Title

President

Phone

(630) 790-1051

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003995051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 FAIRVIEW AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "630-790-1051",
            "fax_number": "708-848-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 FAIRVIEW AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "630-790-1051",
            "fax_number": "708-848-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ROGERS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-790-1051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Meyer, LCSW
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• Chidera Mgbudem, MD
• Karen Ann Michelon
• Ryan Militzer, DPT
• Anne F Miller, M.A.
• Kaitlyn Jo Miller, PT, DPT
• Meihan Miller, LPC

• Psychiatry Physician in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.