JACK RODRIQUEZ (NPI# 1033199054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033199054 |
| Entity Type | Individual |
| Full Name | JACK RODRIQUEZ |
| Credential | MD |
| Practice Address |
6072 Brynwood Dr Rockford IL 61114-5829 |
| Mailing Address |
Po Box 15105 Loves Park IL 61132-5105 |
| Practice Telephone | 8156360825 |
| Practice Fax Number | 8156362271 |
| Mailing Telephone | 8156547772 |
| Mailing Fax Number | 8156547009 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
6072 BRYNWOOD DR |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-5829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114572427 | Janlynn Druce Jones | Counselor | 6072 Brynwood Dr, Rockford, IL 61114-5829 | 2019-08-04 |
| 1710346051 | Julia C. Gordon | Social Worker | 6072 Brynwood Dr, Suite 201, Rockford, IL 61114-5829 | 2016-02-15 |
| 1134485501 | Brynwood Myofascial Therapy | Massage Therapist | 6072 Brynwood Dr, Suite 102, Rockford, IL 61114-5829 | 2012-04-10 |
| 1306113865 | Brynwood Counseling Inc. | Counselor | 6072 Brynwood Dr, Suite 107, Rockford, IL 61114-5829 | 2011-11-28 |
| 1891021952 | Malgorzata Zasadny | Physical Therapist | 6072 Brynwood Dr, Ste 102, Rockford, IL 61114-5829 | 2009-10-26 |
| 1932276136 | Anne S. Zuba | Social Worker | 6072 Brynwood Dr, Suite 105, Rockford, IL 61114-5829 | 2006-11-30 |
| 1154426468 | Mary Ann Norwood | Counselor | 6072 Brynwood Dr, Suite 105, Rockford, IL 61114 | 2006-09-13 |
| 1245243237 | Judith Trigg | Psychologist | 6072 Brynwood Dr, Ste 105, Rockford, IL 61114-5829 | 2006-08-14 |
| 1831122100 | Jessica Dannenmaier | Psychologist | 6072 Brynwood Dr, 105, Rockford, IL 61114-5829 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386110708 | Jamie Therse Brewer | Psychiatry & Neurology | 1401 E State St Fl 4, Rockford, IL 61104-2315 | 2018-10-24 |
| 1447608492 | Jessica Stier | Psychiatry & Neurology | 1643 N Alpine Rd Ste 104-528, Rockford, IL 61107-1462 | 2016-06-01 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1689966756 | Gerald Keith Hoffman | Psychiatry & Neurology | 5906 Elaine Drive, Rockford, IL 61108-2467 | 2011-05-09 |
| 1740471317 | David Allen Wight | Psychiatry & Neurology | 7019 Rote Rd Ste 105, Rockford, IL 61107-2611 | 2007-08-07 |
| 1366641714 | Khatija Mohammad Vaid | Psychiatry & Neurology | 4960 E State St, Rockford, IL 61108-2268 | 2007-07-16 |
| 1639230303 | Susan Feder Slobard | Psychiatry & Neurology | 1021 N Mulford Rd, Ste 1, Rockford, IL 61107-3877 | 2006-12-13 |
| 1730257056 | Zaffar A Rizvi | Psychiatry & Neurology | 6078 Palo Verde Drive, Rockford, IL 61114 | 2006-12-04 |
| 1063504744 | Delsie Bella Gavali | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101-1214 | 2006-09-29 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.