Individual
MONIQUE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
10450 SOUTHWEST HWY APT 2E, CHICAGO RIDGE, IL 60415-1439
(512) 627-7515
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009684
IL
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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