Organization
THE WOMEN INSTITUTE SC
Active
Organization
THE WOMEN INSTITUTE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA RODRIGUEZ MD (PHYSICIAN)
(773) 382-1224
Entity
Organization
Contact information
Practice address
4101 N WESTERN AVE, CHICAGO, IL 60618-2813
(773) 382-1224
(773) 362-1085
Mailing address
1629 S PRAIRIE AVE, # 1508, CHICAGO, IL 60616-4403
(773) 382-1224
(773) 362-1085
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036118733
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036118733
STATE LICENSE
IL
Enumeration date
04/29/2010
Last updated
12/20/2011
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