Individual
DR. GUILLERMO RODRIGUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 MEMORIAL DR, DIV MEDICAL ONCOLOGY, BELLEVILLE, IL 62226-5360
(800) 647-2098
(314) 362-3192
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(800) 647-2098
(314) 362-3192
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
036070727
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200058088
—
MO
Enumeration date
05/04/2006
Last updated
04/21/2025
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