Individual
HECTOR RODRIGUEZ CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP/LP
Contact information
Practice address
1322 WILSHIRE DR, NAPERVILLE, IL 60540-4226
(630) 718-9141
Mailing address
1322 WILSHIRE DR, NAPERVILLE, IL 60540-4226
(630) 718-9141
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
211.000234
IL
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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