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NPI Code Detail

MEDICARE: BRIANA RODRIGUEZ

MEDICARE: BRIANA 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
1101YP2500XProfessional Counselor178.021858IL

General Provider Information

NPI Number : 1720960305
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA RODRIGUEZ
Provider Business Mailing Address
First Line : 1011 W WELLINGTON AVE STE 210
Second Line :
City : CHICAGO
State : IL
Zip : 60657-7187
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1011 W WELLINGTON AVE STE 210
Second Line :
City : CHICAGO
State : IL
Zip : 60657-7187
Country : US
Telephone Number : 312-682-0958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2025
Last Update Date : 06/03/2026

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Directions to “ BRIANA RODRIGUEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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