Rodrigo Mauricio Burgos, Pharm.D.
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Chicago, IL. Individual provider (NPI-1).
NPI number1346836780
StatusActive
Last updated in NPPESDec 20, 2020
Details
- NPI
- 1346836780
- Entity type
- Individual (NPI-1)
- Name
- Rodrigo Mauricio Burgos
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2020
- Certification date
- Dec 20, 2020
- Last updated
- Dec 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 051290734 | IL | Yes |
Practice location
1801 W Taylor St Rm 3Chicago, IL 60612-4795
Phone 312-996-8337 · Fax 312-413-1421
Mailing address
833 S Wood St Rm 164Chicago, IL 60612-7229
Phone 312-996-1654 · Fax 312-413-1797
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