Individual
PAMELA TERESA VERGARA-RODRIGUEZ
Active
Individual
PAMELA TERESA VERGARA-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-111630
IL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
036-111630
IL
2084P0800X
Psychiatry Physician
Primary
036-11630
IL
Other
Enumeration date
01/23/2007
Last updated
05/04/2021
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