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NPI Code Detail

MEDICARE: VINCENT RODRIGUEZ

MEDICARE: VINCENT 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1558063305
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT RODRIGUEZ
Provider Business Mailing Address
First Line : 1500 W SHURE DR
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1443
Country : US
Telephone Number : 224-437-8400
Fax Number :
Provider Business Practice Location Address
First Line : 1500 W SHURE DR
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1443
Country : US
Telephone Number : 224-437-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2023
Last Update Date : 03/17/2023

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Directions to “ VINCENT RODRIGUEZ ” Practice Location

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