SearchIllinois163W00000X

Jacquelyn Rognstad, BSN, RN

NPI 1770018780 · on the registry since 2017 · sole proprietor

Practice

Address
81 E Grand Ave
Fox Lake, IL 60020
Phone
(224) 908-3005
Fax
(815) 814-8989
Organisation at this address
Amg Illinois Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
251S00000X
261QM2800X
261QR0405X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois