Individual
DR. DAVID RODEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1500 EISENHOWER LANE, SUITE 300, LISLE, IL 60532
(630) 453-0888
Mailing address
1500 EISENHOWER LN STE 300, LISLE, IL 60532-2132
(630) 453-0888
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009561
IL
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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