Individual
ROSA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1901 W POLK, SUITE 154, CHICAGO, IL 60612
(312) 937-0569
Mailing address
1353 W 16TH ST, CHICAGO, IL 60608-2147
(312) 802-1706
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041380030
IL
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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