Healthcare Provider Details

I. General information

NPI: 1730043399
Provider Name (Legal Business Name): JOCELINE RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 S WILKE RD STE 205
ARLINGTON HEIGHTS IL
60005-1519
US

IV. Provider business mailing address

1635 ORCHARD ST
DES PLAINES IL
60018-2258
US

V. Phone/Fax

Practice location:
  • Phone: 708-831-1379
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: