Individual
MR. GREGORY A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
12410 S VAN DYKE RD, PLAINFIELD, IL 60585-2520
(800) 361-6880
(708) 845-5505
Mailing address
15127 S 73RD AVE, SUITE G, ORLAND PARK, IL 60462-4398
(708) 845-5500
(708) 845-5505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.007632
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932036
BCBS PROVIDER NUMBER
IL
Enumeration date
03/16/2007
Last updated
12/17/2010
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