Individual
BIANCA D RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Contact information
Practice address
2225 ENTERPRISE DR, SUITE #2505, WESTCHESTER, IL 60154-5814
(708) 296-5990
Mailing address
2225 ENTERPRISE DR, SUITE #2505, WESTCHESTER, IL 60154-5814
(708) 296-5990
(708) 658-5656
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
04/17/2007
Last updated
04/27/2009
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