Individual
SELINA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AC-PNP
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
2555 N CLARK ST APT 1108, CHICAGO, IL 60614-1756
(616) 540-1291
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
041.416259
IL
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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