Miss Jessica Alicia Rodriguez, MED is a
Counselor - Professional based in Oak Park, Illinois. Miss Jessica Alicia Rodriguez is licensed to practice in Illinois (license number 178018894) and her current practice location is
715 Lake St Ste 806, Oak Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 312-3612.
NPI number for Miss Jessica Alicia Rodriguez is 1285387456 and her current mailing address is 3145 N Newcastle Ave, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285387456.
Healthcare Provider's Profile
Full Name | Miss Jessica Alicia Rodriguez |
---|
Gender | Female |
---|
Speciality | Counselor - Professional |
---|
Location | 715 Lake St Ste 806, Oak Park, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285387456
- Provider Enumeration Date: 01/28/2022
- Last Update Date: 04/20/2023
Medical Identifiers
Medical identifiers for Miss Jessica Alicia Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285387456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 103TC0700X (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 178018894 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Jessica Alicia Rodriguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Jessica Alicia Rodriguez, MED 3145 N Newcastle Ave, Chicago, IL 60634-4624 Ph: (773) 390-1997 | Miss Jessica Alicia Rodriguez, MED 715 Lake St Ste 806, Oak Park, IL 60301-1417 Ph: (773) 312-3612 |
Reviews and Comments