Healthcare Provider Details

I. General information

NPI: 1639031305
Provider Name (Legal Business Name): BARBARA RODRIGUEZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 PEACOCK LN
ROLLING MEADOWS IL
60008-2521
US

IV. Provider business mailing address

3201 PEACOCK LN
ROLLING MEADOWS IL
60008-2521
US

V. Phone/Fax

Practice location:
  • Phone: 708-769-7383
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.035860
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.489473
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: