Individual
ANTONIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-7340
Mailing address
303 NW 11TH ST, FAIRFIELD, IL 62837-1203
(618) 842-2611
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036065824
IL
Other
Enumeration date
09/20/2006
Last updated
08/04/2016
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