| Jacqueline Rodriguez, Dmd, P.c. | |
|
561 W Diversey Pkwy Ste 203 Chicago IL 60614-1682 | |
| (847) 738-7659 | |
| Not Available |
| Full Name | Jacqueline Rodriguez, Dmd, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 561 W Diversey Pkwy Ste 203, Chicago, Illinois |
| Authorized Official Name and Position | Jacqueline Rodriguez (OWNER-DENTIST) |
| Authorized Official Contact | 8477387659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Rodriguez, Dmd, P.c. 1513 W Thomas St Apt 3 Chicago IL 60642-3989 Ph: (847) 738-7659 | Jacqueline Rodriguez, Dmd, P.c. 561 W Diversey Pkwy Ste 203 Chicago IL 60614-1682 Ph: (847) 738-7659 |
| NPI Number | 1326784398 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326784398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Universal Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3915 W 26th St, Chicago, IL 60623 Phone: 773-522-2929 Fax: 773-522-2930 | |
Portage Park Dental Associates, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5613 W Irving Park Rd, Chicago, IL 60634 Phone: 773-286-4030 Fax: 773-736-0716 | |
Timothy M. Crowe Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 N Michigan Ave, Suite 1329, Chicago, IL 60602 Phone: 312-782-2844 Fax: 312-783-5780 | |
Sheth Dental Assoc. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3705 E 106th St, Chicago, IL 60617 Phone: 773-978-7773 Fax: 773-978-0419 | |
Dr. Steven Kahn Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 East Washington Street, Suite 1823, Chicago, IL 60602 Phone: 312-269-0100 Fax: 312-269-0004 | |
Archer Family Dental Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6615 W Archer Ave, Chicago, IL 60638 Phone: 773-586-9700 | |
Harold J. Krinsky Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4801 W Peterson Ave Ste 316, Chicago, IL 60646 Phone: 773-685-9666 Fax: 773-685-1967 |