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NPI Code Detail

MEDICARE: DEBBIE RODRIGUEZ

MEDICARE: DEBBIE 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
1101Y00000XCounselor

General Provider Information

NPI Number : 1053762575
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBBIE RODRIGUEZ
Provider Business Mailing Address
First Line : 1800 N. HERMITAGE
Second Line :
City : CHICAGO
State : IL
Zip : 60622
Country : US
Telephone Number : 312-655-7000
Fax Number : 312-266-9027
Provider Business Practice Location Address
First Line : 1800 N HERMITAGE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60622-1161
Country : US
Telephone Number : 312-948-7725
Fax Number : 312-266-9027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2016
Last Update Date : 06/27/2016

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Directions to “ DEBBIE RODRIGUEZ ” Practice Location

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