Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK RODRIQUEZ, MD
Active Sole ProprietorJACK RODRIQUEZ, MD is a Psychiatry healthcare provider located in ROCKFORD, Illinois. NPI 1033199054 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · ROCKFORD, IL
Registration Details
- NPI Number
- 1033199054
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2006 (20.391995244958 yrs)
- Last Updated
- Jul 16, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
6072 BRYNWOOD DRROCKFORD, IL, 611145829Browse IL providers · Browse ZIP 61114
- Phone
- 8156360825
- Fax
- 8156362271
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM WYATT WOOD | M.D. | 1578551370 |
| DR. GRACE MURICKEN THUNDIYIL | M.D | 1184614026 |
| DR. STEVEN KOURIS | DO | 1154306389 |
| DR. KAMAL MODIR | MD | 1568447795 |
| DR. RAYMOND CHRISTOPHER GARCIA | MD | 1245217959 |
| SHAHINA H JAFRY | M.D. | 1053383737 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.