Rodriguez, Guillermo

Rodriguez, Guillermo is an individual health care provider with primary practice located at 1418 Cross St Div Im Medical Oncology, Ste 180, Shiloh IL 62269-2988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Rodriguez, Guillermo can be contacted via phone (618) 607-1340.

Contact Information

Primary practice address
1418 Cross St Div Im Medical Oncology, Ste 180 Shiloh IL 62269-2988
Phone: (618) 607-1340
Fax: (618) 622-9724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 036070727 Illinois

Profile Details

NPI number 1861440661
LBN Legal business name Rodriguez, Guillermo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 15th, 2021 - about 3 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 1861440661 NPPES
Missouri MEDICAID 200058088

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