Individual
ELSIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
125 W MAIN ST, CLINTON, IL 61727-1611
(217) 935-9451
(217) 600-2442
Mailing address
4847 E ROUTE 36, DECATUR, IL 62521-9736
(217) 425-3219
(217) 425-3220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011763
IL
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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