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Individual

MARIA C RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
7153 CERMAK RD, BERWYN, IL 60402-2134
(708) 795-8585
Mailing address
1507 OAK PARK AVE, BERWYN, IL 60402-1340
(773) 600-1443

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011685
IL
152WC0802X
Corneal and Contact Management Optometrist
046011685
IL
152WP0200X
Pediatric Optometrist
046011685
IL

Other

Enumeration date
08/31/2022
Last updated
08/31/2022
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