Individual
JAKOB RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2311 THUNDER GULCH RD, MONTGOMERY, IL 60538-3442
(815) 209-6360
Mailing address
38W306 GLENWOOD DR, BATAVIA, IL 60510-9501
(815) 209-6360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
07/12/2021
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