Individual
JUDY CAROL RODINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2300 CHILDREN'S PLAZA, CHILDREN'S MEMORIAL HOSPITAL, CHICAGO, IL 60614-3363
(773) 880-4414
Mailing address
1516 N STATE PKWY, APT14A, CHICAGO, IL 60610-1677
(312) 751-2815
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209000566
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STATE LICENSE
209000566
IL
Enumeration date
06/23/2009
Last updated
06/23/2009
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