Raul Rodriguez's National Provider Identifier (NPI) Details
Raul Rodriguez, LCSW
NPI: 1881360584
Enumeration Date: 2021-08-21
Last updated: 2021-08-21
Sole Proprietor: YES
Status: active
Postal Address: 12204 GREGORY ST, BLUE ISLAND, IL
Phone: 708-369-0960
Primary Practice Address: 12204 GREGORY ST, BLUE ISLAND, IL
Practice's phone: 708-369-0960