Individual
KEVYN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6526 S PULASKI RD, CHICAGO, IL 60629-5136
(773) 585-9460
Mailing address
1306 S 49TH CT, CICERO, IL 60804-1425
(312) 678-5069
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.010638
IL
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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