Individual
DR. RODOLFO JAVIER SAN JUAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(331) 221-8952
(331) 221-3782
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11022553A
IN
208M00000X
Hospitalist Physician
Primary
036175111
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
04/07/2022
Last updated
06/30/2025
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