Individual
DR. GARY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3231 EUCLID AVE, 5TH FLR, BERWYN, IL 60402-3471
(708) 783-2000
Mailing address
3231 EUCLID AVE, BERWYN, IL 60402-3471
(708) 783-3094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.067134
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/14/2015
Last updated
06/18/2015
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