Provider Demographics
NPI:1841338860
Name:ROGEL, PATRICIA LOUISE (CO, LO, OTR/L)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LOUISE
Last Name:ROGEL
Suffix:
Gender:F
Credentials:CO, LO, OTR/L
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:LOUISE
Other - Last Name:TRESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CO, OTR
Mailing Address - Street 1:4711 GOLF RD STE 525
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1217
Mailing Address - Country:US
Mailing Address - Phone:224-470-8550
Mailing Address - Fax:224-470-8553
Practice Address - Street 1:4711 GOLF RD
Practice Address - Street 2:STE 1055
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1224
Practice Address - Country:US
Practice Address - Phone:224-470-8550
Practice Address - Fax:224-470-8553
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL56003649225X00000X
IL213000146222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist