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1033199054
JACK RODRIQUEZ
ROCKFORD, IL
NPI
1033199054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036061669)
Enumeration Date
2006-01-17
Last Update Date
2007-07-16
Business Address
-- JACK RODRIQUEZ md
6072 BRYNWOOD DR
ROCKFORD, IL 61114-5829
Phone number: 815-636-0825
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Mailing Address
-- JACK RODRIQUEZ md
PO BOX 15105
LOVES PARK, IL 61132-5105
Phone number: 815-654-7772
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