Individual provider · Type 1 NPI
Emily C. Rodriguez, PA-C
Medical Physician Assistant · Kankakee, IL
NPI number
1871824987
Active
Practice location
375 N Wall St, Suite P530
Kankakee, IL 60901-3483
Fax (815) 937-3850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 085003676 (IL) |
| Medical Physician Assistant Primary | 363AM0700X | 085003676 (IL) |
Medical Physician Assistant: Definition to come...
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About NPI 1871824987
Emily C. Rodriguez, PA-C's National Provider Identifier is 1871824987, issued on Jan 29, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kankakee, IL. The record was last updated on Nov 6, 2024.