Individual
DIANE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3522 S 58TH CT, CICERO, IL 60804-4266
(708) 822-0666
Mailing address
3522 S 58TH CT, CICERO, IL 60804-4266
(708) 822-0666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209026463
IL
Other
Enumeration date
11/28/2022
Last updated
12/16/2022
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