Individual provider · Type 1 NPI

Heysel Serra Rodriguez

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1356299291 Active

Practice location

1 Illini Dr
Peoria, IL 61605-2576

Call (309) 671-3000 Map

Mailing address

2103 N Karlov Ave
Chicago, IL 60639-3955

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356299291

Heysel Serra Rodriguez's National Provider Identifier is 1356299291, issued on Mar 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Mar 17, 2026.