Provider Demographics
NPI:1184005571
Name:RODGERS, ERICA (DC)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:RODGERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:TUFO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2625 BUTTERFIELD RD
Mailing Address - Street 2:STE 301N
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1234
Mailing Address - Country:US
Mailing Address - Phone:630-468-1824
Mailing Address - Fax:
Practice Address - Street 1:4601 W HIGGINS RD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-3719
Practice Address - Country:US
Practice Address - Phone:224-293-6850
Practice Address - Fax:224-293-6853
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012822111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor