Individual
LUCIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 W NORTH AVE, CHICAGO, IL 60647-5247
(312) 666-3494
Mailing address
2750 W NORTH AVE, CHICAGO, IL 60647-5247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.073633
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
06/24/2019
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