Individual
DR. OLAF RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 W KENYON RD, URBANA, IL 61801-1004
(217) 819-3376
Mailing address
1111 W KENYON RD, URBANA, IL 61801-1004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036171478
IL
207ND0900X
Dermatopathology Physician
036171478
IL
Other
Enumeration date
03/21/2019
Last updated
01/29/2025
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