Rodriguez, Gustavo

Rodriguez, Gustavo is an individual health care provider with primary practice located at 2650 Ridge Ave Kellogg Cancer Center, Evanston IL 60201-1718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Rodriguez, Gustavo can be contacted via phone (847) 570-2639.

Contact Information

Primary practice address
2650 Ridge Ave Kellogg Cancer Center Evanston IL 60201-1718
Phone: (847) 570-2639
Fax: (847) 733-5618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036075204 Illinois
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 036075204 Illinois

Profile Details

NPI number 1265527956
LBN Legal business name Rodriguez, Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 8th, 2020 - about 4 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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