Organization Active NPI

Gary Rogers DPM

  • Podiatrist
  • Wilmette, IL
National Provider Identifier
1508049404
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
GARY ROGERS DPM
Practice address
1921 Lake Ave
Ste a
Wilmette, IL 60091-1480
Phone
(847) 256-4434
Fax
(847) 256-4437
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Gary J Rogers, DPM
Title
Doctor
Phone
(847) 256-4434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X IL Primary

Addresses

Primary practice location

1921 Lake Ave
Ste a
Wilmette, IL 60091-1480

Mailing address

1921 Lake Ave Ste a
Wilmette, IL 60091-1480
Phone (847) 256-4434

National Provider Directory

National Provider Directory
Tax ID family
Gary Rogers DPM2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508049404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 LAKE AVE STE A",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911480",
            "telephone_number": "847-256-4434",
            "fax_number": "847-256-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 LAKE AVE",
            "address_2": "STE A",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911480",
            "telephone_number": "847-256-4434",
            "fax_number": "847-256-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY ROGERS DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-256-4434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.