Individual
LIZBETH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5359 W FULLERTON AVE, CHICAGO, IL 60639-1450
(773) 836-2785
Mailing address
5359 W FULLERTON AVE, CHICAGO, IL 60639-1450
(773) 836-2785
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036141436
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2014
Last updated
01/02/2020
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