MEDICARE: CELICA 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
1	106S00000X	Behavior Technician	RBT-25-495402	IL

General Provider Information

NPI Number	:	1144152935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELICA RODRIGUEZ

Provider Business Mailing Address
First Line	:	800 ENTERPRISE DR STE 214
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-4218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 W ARMY TRAIL RD STE 100
Second Line	:
City	:	ADDISON
State	:	IL
Zip	:	60101-1478
Country	:	US
Telephone Number	:	312-600-5061
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ CELICA RODRIGUEZ ” Practice Location

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