Provider Demographics
NPI:1558131474
Name:RODRIGUEZ, ANGELA LUZ (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANGELA LUZ
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 S GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-4637
Mailing Address - Country:US
Mailing Address - Phone:708-220-8188
Mailing Address - Fax:
Practice Address - Street 1:246 S GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-4637
Practice Address - Country:US
Practice Address - Phone:708-220-8188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist