Jack Rodriquez, MD

NPI 1033199054 · on the registry since 2006 · sole proprietor

Practice

Address: 6072 Brynwood Dr
Rockford, IL 61114
Phone: (815) 636-0825
Fax: (815) 636-2271
Organisation at this address: Shiraz Tata Phd Llc
Connected Counseling
Kalm Oasis Therapy Llc
Beacon Of Enlightenment
Brynwood Counseling Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: Psychiatry
2084P0800X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois