Individual
MARCELA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 N 8TH ST, PAV 4A, SPRINGFIELD, IL 62701-1041
(217) 545-8000
(217) 545-6040
Mailing address
PO BOX 19658, SPRINGFIELD, IL 62794-9658
(217) 545-8000
(217) 545-6040
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-128827
IL
2080P0208X
Pediatric Infectious Diseases Physician
Primary
036-128827
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036128827
—
IL
Enumeration date
05/03/2007
Last updated
12/09/2020
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