Rodriguez, Gregory A

Rodriguez, Gregory A is an individual health care provider with primary practice located at 12410 S Van Dyke Rd , Plainfield IL 60585-2520. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Rodriguez, Gregory A can be contacted via phone (800) 361-6880.

Contact Information

Primary practice address
12410 S Van Dyke Rd Plainfield IL 60585-2520
Phone: (800) 361-6880
Fax: (708) 845-5505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.007632 Illinois

Profile Details

NPI number 1811021264
LBN Legal business name Rodriguez, Gregory A
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Dec 17th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811021264 NPPES
Illinois Other 09932036 BCBS PROVIDER NUMBER

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