Organization
JACQUELINE RODRIGUEZ, DMD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE RODRIGUEZ DMD (OWNER-DENTIST)
(847) 738-7659
Entity
Organization
Contact information
Practice address
561 W DIVERSEY PKWY STE 203, CHICAGO, IL 60614-1682
(847) 738-7659
Mailing address
1513 W THOMAS ST APT 3, CHICAGO, IL 60642-3989
(847) 738-7659
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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