IndividualActive
Juan Rodriguez, M.D.
NPI 1679924617 · Surgery Physician · Urbana, IL
Provider details
- NPI number
- 1679924617
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036-157423 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
611 W Park St
Urbana, IL 61801-2529
Phone: (217) 383-3240
Fax: (217) 383-4868
Approximate (ZIP-level) locationGet directions
Mailing address
611 W Park St
Urbana, IL 61801-2529
Additional practice locations (1)
- 1315 N Highland Ave Ste 200Aurora, IL 60506-1460Phone: (630) 906-7801
Registry dates
- Enumerated
- 2016-06-30
- Last updated
- 2023-03-29
- Certified
- 2023-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.