Individual
RODRIGO MAURICIO BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1801 W TAYLOR ST RM 3, CHICAGO, IL 60612-4795
(312) 996-8337
(312) 413-1421
Mailing address
833 S WOOD ST RM 164, CHICAGO, IL 60612-7229
(312) 996-1654
(312) 413-1797
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
051290734
IL
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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