Individual ProviderWendy Ann RogowskiPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1900 West Polk Street, Chicago, IL 60612(312) 864-5204PECOS EnrollmentBased on the most recent information from CMS, provider Wendy Ann Rogowski does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1053525527Provider TypeIndividualFull NameRogowski, Wendy AnnTitleMs.CredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date5/10/2007Last Updated4/29/2021Contact InformationPractice LocationPractice Address1900 West Polk Street, Chicago, IL 60612Phone(312) 864-5204Fax(312) 864-9782Mailing LocationMailing Address7201 Bradford Court, Justice, IL 60458Phone(312) 864-5204Fax(312) 864-9782Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense385001081Illinois