Individual
MARCO ANTONIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5665 NEW NORTHSIDE DR, #320, ATLANTA, GA 30328-5834
(770) 874-5400
Mailing address
11406 AUTUMN RIDGE DR, ORLAND PARK, IL 60467-1343
(708) 691-2656
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036129307
IL
Other
Enumeration date
04/13/2009
Last updated
09/11/2012
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