Nicholas James Rogers is a student in an organized health care education training program in Peoria, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Nicholas James Rogers NPI is 1164086385. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
221 NE GLEN OAK AVE
PEORIA, IL
ZIP 61636-001
Phone: (309) 495-1640
The enumeration date for this NPI number is 4/23/2019 and was last updated on 4/23/2019.