David Rodriguez
Counselor in Bartlett, IL. Individual provider (NPI-1).
NPI number1982196556
StatusActive
Last updated in NPPESMay 30, 2018
Details
- NPI
- 1982196556
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Rodriguez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2018
- Last updated
- May 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | R362-1608-5326 | IL | Yes |
Practice location
728 Bayberry DrBartlett, IL 60103-4444
Phone 312-656-9066
Mailing address
728 Bayberry DrBartlett, IL 60103-4444
Phone 312-656-9066
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