Individual
LAURA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 W 95TH ST STE 407, OAK LAWN, IL 60453-2654
(708) 684-4029
(708) 684-4033
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-026901
IL
Other
Enumeration date
12/19/2022
Last updated
08/02/2023
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