Individual
HERON RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST, NORTHWESTERN MEMORIAL HOSPIALT GALTER 19-100, CHICAGO, IL 60611-5975
(312) 695-2714
Mailing address
251 E HURON ST, NORTHWESTERN MEMORIAL HOSPIALT GALTER 10-105, CHICAGO, IL 60611-2908
(312) 695-4857
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
36096947
IL
Other
Enumeration date
03/02/2006
Last updated
07/08/2007
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