Individual
KEITH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5840 S MARYLAND AVE, MC4028, CHICAGO, IL 60637-1462
(773) 702-6700
Mailing address
8 E 9TH ST APT 2204, CHICAGO, IL 60605-4505
(512) 557-2066
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125.059014
IL
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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