Individual
MARY RODTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1611 W HARRISON ST, SUITE 400, CHICAGO, IL 60612-4861
(312) 243-4244
(312) 942-1517
Mailing address
1 WESTBROOK CORPORATE CTR, SUITE 240, WESTCHESTER, IL 60154-5701
(708) 236-2673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209001778
IL
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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