Provider Demographics
NPI:1942212873
Name:RODRIGUEZ, JULIA D (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:D
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 55TH ST
Mailing Address - Street 2:THE BIRCHES
Mailing Address - City:CLARENDON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60514
Mailing Address - Country:US
Mailing Address - Phone:630-789-1135
Mailing Address - Fax:
Practice Address - Street 1:215 55TH ST
Practice Address - Street 2:THE BIRCHES
Practice Address - City:CLARENDON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60514-1578
Practice Address - Country:US
Practice Address - Phone:630-789-1135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-005910101YP2500X
IL056009263225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional