Doctor Name: | MS. JULIA D. RODRIGUEZ |
NPI Number: | 1942212873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 180-005910 |
Business Practice Address: | 215 55th St The Birches Clarendon Hills, IL - 605141578 |
Business Phone Number: | 6307891135 |
Business Fax Number: | |
Mailing Address: | 215 55th St, The Birches CLARENDON HILLS |
State: | IL |
Postal Code: | 60514 |
Phone Number: | 6307891135 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 07/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180-005910 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |