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NPI Code Detail

MEDICARE: DANIEL JACOB RODRIGUEZ

MEDICARE:   DANIEL JACOB RODRIGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist056.016947IL

General Provider Information

NPI Number : 1689507089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL JACOB RODRIGUEZ
Provider Business Mailing Address
First Line : 3440 N NARRAGANSETT AVE UNIT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60634-3886
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 W OAKTON ST
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4602
Country : US
Telephone Number : 847-368-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ DANIEL JACOB RODRIGUEZ ” Practice Location

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