Individual
DANIEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1802 FOX DR STE D, CHAMPAIGN, IL 61820-7280
(217) 766-0258
Mailing address
3545 N VERMILION ST, DANVILLE, IL 61832-1100
(217) 651-6801
(217) 651-6802
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
Primary
150113094
IL
Other
Enumeration date
10/05/2023
Last updated
07/03/2026
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