Individual
JULIO RODRIGUEZ FLORIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC
Contact information
Practice address
4221 GREGORY DR, ZION, IL 60099-1345
(847) 731-0627
(847) 731-0627
Mailing address
4221 GREGORY DR, ZION, IL 60099-1345
(847) 731-0627
(847) 731-0627
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
238000091
IL
363AS0400X
Surgical Physician Assistant
Primary
238000091
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004932660
BLUE CROSS BLUE SHIELD OF ILLINOIS
—
Enumeration date
06/02/2006
Last updated
11/26/2024
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