Heron Rodriguez
Vascular Surgeon
675 N Saint Clair St Northwestern Memorial Hospialt Galter 19-100
Chicago
, Illinois 60611-5975
Heron Rodriguez
Vascular Surgeon
675 N Saint Clair St Northwestern Memorial Hospialt Galter 19-100
Chicago
, Illinois 60611-5975
(312) 695-4857
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Heron Rodriguez
- 251 E Huron St Northwestern Memorial Hospialt Galter 10-105
- Chicago, IL
- Zip : 60611-2908
- Phone : (312) 695-4857
Second Address
- Heron Rodriguez
- 675 N Saint Clair St Northwestern Memorial Hospialt Galter 19-100
- Chicago, IL
- Zip : 60611-5975
- Phone : (312) 695-2714
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 36096947 | IL |
National Provider Identifier
| NPI | 1003883778 |
|---|---|
| Provider Name | Heron Rodriguez |
| First Address | Chicago, IL 60611-2908 |
| Second Address | Chicago, IL 60611-5975 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H76745 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.