Jack Rodriquez is a Psychiatry in Loves Park, Illinois. Jack Rodriquez practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jack Rodriquez is 1033199054. The last update date is 2007-07-16.
Jack Rodriquez's current location address is Po Box 15105, Loves Park, Illinois. You can contact this provider via phone number 8156547772 and fax number 8156547009. The mailing address for Jack Rodriquez is Po Box 15105, Loves Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Rodriquez |
|---|---|
| Address | Po Box 15105, Loves Park, Illinois |
| Phone Number | 8156547772 |
| Fax Number | 8156547009 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033199054 |
|---|---|
| Provider Enumeration Date | 2006-01-17 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | Po Box 15105 |
|---|---|
| City | Loves Park |
| State | Illinois (IL) |
| Post Code | 611325105 |
| Phone Number | 8156547772 |
| Fax Number | 8156547009 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique identification code assigned to Jack Rodriquez by the Centers for Medicare & Medicaid Services?
The Jack Rodriquez has been issued the NPI (National Provider Identifier) 1033199054. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jack Rodriquez located?
The Jack Rodriquez is located at Po Box 15105, Loves Park, IL 611325105.
What is Jack Rodriquez's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack Rodriquez's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033199054 to Jack Rodriquez?
The Centers for Medicare & Medicaid Services originally issued the 1033199054 to Jack Rodriquez on 2006-01-17.
When was the Jack Rodriquez's information last updated?
The Jack Rodriquez's information was last updated on 2007-07-16.