Marco Leopoldo Rodriguez
Physician Assistant, Surgical in Glenview, IL. Individual provider (NPI-1).
NPI number1154026367
StatusActive
Last updated in NPPESSep 18, 2023
Details
- NPI
- 1154026367
- Entity type
- Individual (NPI-1)
- Name
- Marco Leopoldo Rodriguez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2023
- Certification date
- Sep 18, 2023
- Last updated
- Sep 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
2100 Pfingsten RdGlenview, IL 60026-1301
Phone 847-657-5815
Mailing address
2100 Pfingsten RdGlenview, IL 60026-1301
Phone 847-657-5815
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