Provider Demographics
NPI:1487965927
Name:RODRIGUEZ, FRANCISCO JAVIER (PSYD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:PSYD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4240 S CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60632-1208
Mailing Address - Country:US
Mailing Address - Phone:312-746-5905
Mailing Address - Fax:312-747-8974
Practice Address - Street 1:1201 S CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-1013
Practice Address - Country:US
Practice Address - Phone:312-746-5905
Practice Address - Fax:312-747-8974
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health