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Individual

MR. DAVID RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
728 BAYBERRY DR, BARTLETT, IL 60103-4444
(312) 656-9066
Mailing address
728 BAYBERRY DR, BARTLETT, IL 60103-4444
(312) 656-9066

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R362-1608-5326
IL

Other

Enumeration date
05/30/2018
Last updated
05/30/2018
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