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Individual

JOSE M RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6240 W 55TH ST, CHICAGO, IL 60638-2531
(773) 284-2200
(773) 284-5833
Mailing address
6240 W 55TH ST, CHICAGO, IL 60638-2531
(773) 284-2200
(773) 284-5833

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-089962
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036087962
IL
Enumeration date
05/24/2006
Last updated
07/30/2012
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