Individual
PEDRO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
698 FEATHERSTONE RD, ROCKFORD, IL 61107-6303
(815) 398-3277
(815) 986-1448
Mailing address
698 FEATHERSTONE RD, ROCKFORD, IL 61107-6303
(815) 398-3277
(815) 986-1448
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036110684
IL
208600000X
Surgery Physician
16856
PR
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036110684
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
16856
PR
Other
Enumeration date
09/10/2007
Last updated
07/18/2012
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