Individual
STEPHANIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5459
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5459
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036.163145
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/11/2018
Last updated
11/07/2023
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