Individual
DR. NELA RODRIGUEZ CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2002 N DAMEN AVE, CHICAGO, IL 60647-4527
(773) 486-6553
Mailing address
2 WELLINGBOROUGH CT, SOUTH BARRINGTON, IL 60010-6156
(847) 277-1740
(847) 277-1744
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
036053399
IL
208000000X
Pediatrics Physician
Primary
036053399
IL
208D00000X
General Practice Physician
036053399
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053399
—
IL
Enumeration date
01/24/2007
Last updated
04/14/2010
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