Individual
IVORY S RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2300 WOODLAND LN N, RIVERWOODS, IL 60015-1433
(312) 593-2953
Mailing address
3105 N NORDICA AVE, CHICAGO, IL 60634-4523
(312) 459-3875
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
209.029477
IL
363LF0000X
Family Nurse Practitioner
Primary
209.029477
IL
Other
Enumeration date
03/26/2024
Last updated
04/07/2026
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