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Individual

MR. CARLOS RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
2875 W. 19TH STREET, ST. ANTHONY HOSPITAL, CHICAGO, IL 60623
(773) 484-4150
(773) 521-5092
Mailing address
1000 E. MAPLE AVE, MUNDELEIN, IL 60060
(773) 837-6209

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
70014218
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/07/2007
Last updated
09/14/2017
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