MEDICARE: ROSA MIRIAM PAEZ-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	171R00000X	Interpreter

General Provider Information

NPI Number	:	1629256656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA MIRIAM PAEZ-RODRIGUEZ

Provider Business Mailing Address
First Line	:	6536 S FRANCISCO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-2842
Country	:	US
Telephone Number	:	773-501-3525
Fax Number	:

Provider Business Practice Location Address
First Line	:	6536 S FRANCISCO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-2842
Country	:	US
Telephone Number	:	773-501-3525
Fax Number	:

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

Provider Enumeration Date	:	01/31/2008
Last Update Date	:	01/31/2008

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Directions to “ ROSA MIRIAM PAEZ-RODRIGUEZ ” Practice Location

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