Individual
SERGIO M. RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 HEALTH CENTER DRIVE, MATTOON, IL 61938-9253
(217) 238-4325
(217) 238-4320
Mailing address
1000 HEALTH CENTER DRIVE, MATTOON, IL 61938-9253
(217) 238-4325
(217) 238-4320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-131222
IL
207Q00000X
Family Medicine Physician
125057170
IL
208M00000X
Hospitalist Physician
Primary
036-131222
IL
Other
Enumeration date
06/29/2009
Last updated
11/02/2012
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