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JACK RODRIQUEZ md, NPI 1033199054

Psychiatry & Neurology in LOVES PARK, IL

Last Updated on : Jul 16,2007

JACK  RODRIQUEZ md, NPI 1033199054

About JACK RODRIQUEZ (NPI 1033199054)


JACK RODRIQUEZ is a Psychiatry & Neurology provider in LOVES PARK, United States. His medical specialization is Psychiatry & Neurology with a focus in Psychiatry.

1033199054 is NPI number of JACK RODRIQUEZ.

JACK RODRIQUEZ's primary taxonomy code based on NPI Lookup is 2084P0800X with license number 036061669. This taxonomy code refers to Psychiatry & Neurology.

JACK RODRIQUEZ has more than 16 years of experience.

JACK RODRIQUEZ current practice location address is PO BOX 15105, LOVES PARK, IL. JACK RODRIQUEZ can be reached out via phone at 815-654-7772 and via fax at 815-654-7009 .

You can also correspond with JACK RODRIQUEZ through mail at mailing address 6072 BRYNWOOD DR, ROCKFORD, IL, United States. Mailing address contact number is 815-636-0825.

The enumeration date of JACK RODRIQUEZ is 17-Jan-2006. The provider is registered as an Individual and the NPI record was last updated 16 years ago.

1033199054 NPI Information

Basic NPI information of JACK RODRIQUEZ (NPI 1033199054) is provided below.

Name JACK RODRIQUEZ
National Provider Id (NPI) 1033199054
Entity Type Individual
Gender M
Credential md
Practice Address PO BOX 15105,
LOVES PARK, IL, United States
Practice Telephone 815-654-7772
Practice Fax Number 815-654-7009
Mailing Address 6072 BRYNWOOD DR ,
ROCKFORD, IL, United States
Mailing Telephone 815-636-0825
Mailing Fax Number 815-636-2271
Enumeration Date 17-Jan-2006
Last Updated Date 16-Jul-2007

JACK RODRIQUEZ (NPI 1033199054) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 2084P0800X Psychiatry & Neurology, Psychiatry 036061669 IL

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 disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
036061669 MEDICAID (05) IL
744760 MEDICARE PIN (08) IL
d15869 MEDICARE UPIN (02)

JACK RODRIQUEZ (NPI 1033199054) Office Location

Office location of JACK RODRIQUEZ is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1780734061 COLE VISION CORPORATION Eyewear Supplier (Equipment, not the service) 1515 E RIVERSIDE BLVD,
LOVES PARK, IL, United States
11-Jan-2007
1811292360 DENVER URGENT CARE LLC Clinic/Center, Urgent Care PO BOX 15430,
LOVES PARK, IL, United States
13-Jan-2011
1023582020 URGENT CARE MEDICAL CENTER LLC Clinic/Center, Urgent Care PO BOX 2436,
LOVES PARK, IL, United States
14-Jan-2019
1184775264 JUSTIN TODD RAMZA Anesthesiology 4140 OLD GOLF RD,
LOVES PARK, IL, United States
15-Jan-2007
1528305174 SHANNON M KEY Counselor, Professional 814 MERRILL AVE,
LOVES PARK, IL, United States
15-Jan-2013
1184775207 VICTORIA M. HOMINICK Social Worker, Clinical 7124 WINDSOR LAKE PKWY, SUITE 17
LOVES PARK, IL, United States
16-Jan-2007
1558341933 L ROBERT WARREN Family Medicine PO BOX 15840,
LOVES PARK, IL, United States
20-Jan-2006
1033199054 JACK RODRIQUEZ Psychiatry & Neurology, Psychiatry PO BOX 15105,
LOVES PARK, IL, United States
17-Jan-2006
1881674299 DAVID LAIB Pathology, Anatomic Pathology & Clinical Pathology PO BOX 15258,
LOVES PARK, IL, United States
20-Jan-2006
1326028143 KEVIN M. BURNS Physician Assistant, Medical 7402 E RIVERSIDE BLVD,
LOVES PARK, IL, United States
18-Jan-2006
1902878358 EDWARD YAVITZ Ophthalmology 4105 NORTH PERRYVILLE RD,
LOVES PARK, IL, United States
01-Feb-2006
1184778755 SCOTT A MEYERS Pharmacist 7957 BRIXHAM RD,
ROCKFORD, IL, United States
22-Jan-2007
1720132723 PATRICIA M WEGNER Pharmacist 1117 HOLLY CT,
NAPERVILLE, IL, United States
23-Jan-2007
1124173844 EAST BANK CENTER LLC Skilled Nursing Facility 12040 RAYMOND CT,
HUNTLEY, IL, United States
24-Jan-2007
1598060485 MELISSA PALUZZI Mechanotherapist 6270 E RIVERSIDE BLVD,
LOVES PARK, IL, United States
24-Jan-2011
1174678346 VICKI JOHNSON Midwife 6092 TORCH LITE TRL,
LOVES PARK, IL, United States
25-Jan-2007
1780730101 JASON JOSEF BLAKE Social Worker, Clinical 7124 WINDSOR LAKE PKWY, SUITE # 10
LOVES PARK, IL, United States
26-Jan-2007
1013454057 LAURA CARROLL Physical Therapist 7344 MABELS WAY,
LOVES PARK, IL, United States
29-Jan-2017
1457323628 ROGER HILBERT Pathology, Anatomic Pathology & Clinical Pathology PO BOX 15785,
LOVES PARK, IL, United States
02-Feb-2006
1972575157 SARA FLEMING Pathology, Anatomic Pathology & Clinical Pathology PO BOX 15785,
LOVES PARK, IL, United States
02-Feb-2006

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1033199054?

1033199054 is the NPI number of JACK RODRIQUEZ.

What is the specialty for JACK RODRIQUEZ?

The Specialty of JACK RODRIQUEZ is Psychiatry & Neurology.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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