Individual provider · Type 1 NPI
Marie Rodriguez, RN
Gerontology Nurse Practitioner · Chicago, IL
NPI number
1982990149
Active
Practice location
4318 S State St
Chicago, IL 60609-3701
Mailing address
PO Box 746721
Atlanta, GA 30374-6721
Other practice locations
- 10110 Donald S. Powers Drive, Suite 101D, Munster, IN 46321 · (312) 550-5668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 71005662 (IN) |
| Gerontology Nurse Practitioner | 363LG0600X | 71005662 (IN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209.025497 (IL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1982990149
Marie Rodriguez, RN's National Provider Identifier is 1982990149, issued on Jun 24, 2011. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chicago, IL. The record was last updated on Feb 18, 2025.