Individual
MRS. NANCY A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDCES
Contact information
Practice address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 854-5218
(773) 854-5587
Mailing address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 854-5218
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
041.211788
IL
163WD0400X
Diabetes Educator Registered Nurse
209003425
IL
Other
Enumeration date
09/23/2010
Last updated
09/10/2021
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