MRS. JESSICA E. RODRIGUEZ


Address: 1870 Silver Cross Blvd, Suite 200, New Lenox, IL 60451-8639
Phone: 8154623474

MRS. JESSICA E. RODRIGUEZ (NPI# 1265774806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265774806
Entity Type Individual
Full Name MRS. JESSICA E. RODRIGUEZ
Other Name JESSICA E. EISENHAUER
Credential PA
Practice Address 1870 Silver Cross Blvd
Suite 200
New Lenox
IL 60451-8639
Mailing Address 550 W Ogden Ave
Hinsdale
IL 60521-3186
Practice Telephone 8154623474
Practice Fax Number 6307948615
Mailing Telephone 6303236116
Mailing Fax Number 6307948615
Enumeration Date 2013-03-21
Last Update Date 2019-06-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
085004671 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL PHYSICIAN ASSISTANT LICENSE 085004617 01

Other Providers JESSICA RODRIGUEZ

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Office Location

Street Address 1870 SILVER CROSS BLVD
SUITE 200
City NEW LENOX
State IL
Zip Code 60451-8639

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477557445 Timothy A Kisla Ophthalmology 1870 Silver Cross Blvd, Suite 110, New Lenox, IL 60451-8639 2005-06-08
1992320394 Joshua Knitter Physical Therapist 1870 Silver Cross Blvd, New Lenox, IL 60451-8639 2020-06-11
1194180919 Dupage Medical Group, Ltd. Prosthetic/Orthotic Supplier 1870 Silver Cross Blvd, Suite 240, New Lenox, IL 60451-8639 2015-12-21
1235533837 Julie Rene Paul Nurse Practitioner 1870 Silver Cross Blvd, Suite 210, New Lenox, IL 60451-8639 2014-10-10
1467860833 Meridian App Medical Services, LLC Clinic/Center 1870 Silver Cross Blvd, Suite 240, New Lenox, IL 60451-8639 2014-07-29
1104122829 Sherry Ann Burnam Advanced Practice Midwife 1870 Silver Cross Blvd, Suite 210, New Lenox, IL 60451-8639 2011-01-27
1568766103 Hinsdale Orthopaedic Associates, Sc Specialist 1870 Silver Cross Blvd, New Lenox, IL 60451-8639 2010-12-22
1619205077 Eligijus P Lelis Md & Associates, Sc Durable Medical Equipment & Medical Supplies 1870 Silver Cross Blvd, Ste 220, New Lenox, IL 60451-8646 2009-11-24
1871828780 Maria Francis Internal Medicine 1870 Silver Cross Blvd, Suite 120, New Lenox, IL 60451-8639 2009-10-09
1831154947 Advanced Eyecare Sc Ophthalmology 1870 Silver Cross Blvd, Suite 110, New Lenox, IL 60451-8639 2006-04-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871126227 Forever Family Dental of New Lenox Dentist 202 Vancina Lane, New Lenox, IL 60451 2020-02-13
1699245662 Highland Park Cvs LLC Durable Medical Equipment & Medical Supplies 115 East Maple St, New Lenox, IL 60451 2018-12-03
1093204778 New Lenox Anesthesia LLC Anesthesiology 678 Cedar Crossing Dr, New Lenox, IL 60451 2018-05-08
1578068698 My Medicar Non-emergency Medical Transport (VAN) 21625 S. Schoolhouse Rd, New Lenox, IL 60451 2018-03-29
1134646771 Julianne M. Goudzwaard Registered Nurse 841 Buckboard Drive, New Lenox, IL 60451 2017-08-24
1063947422 Silver Cross Ambulatory Surgery Center, LLC Clinic/Center 1003 Pawlak Parkway, New Lenox, IL 60451 2017-04-24
1386090041 Lindsey Reimer Speech-Language Pathologist 3515 Golf Ave, New Lenox, IL 60451 2016-05-11
1295105484 Alison Elaine Burchardt Nurse Practitioner 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 2015-09-30
1700278959 Dental Professionals of Illinois, P.c Dentist 561 E Lincoln Hwy, New Lenox, IL 60451 2015-02-25
1912319146 Teresea Bargewell Counselor 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 2014-05-22
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689218190 Jennifer Richman Physician Assistant 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 2019-10-29
1699161976 Nora Layug Physician Assistant 1533 Edmonds Ave, New Lenox, IL 60451-2385 2015-04-13
1669997680 Shuxia Jiang Physician Assistant 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 2017-08-10
1932503786 Katherine V Powers Physician Assistant 1890 Silver Cross Blvd, Suite 410, New Lenox, IL 60451-9524 2014-10-21

Providers in the same taxonomy and state

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1710547625 Nadia Khan Physician Assistant 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 2019-06-13
1962065516 Jorge Mantilla Physician Assistant 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 2019-04-18
1013479955 Leah Rae Prager Physician Assistant 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 2019-04-01
1770041949 Laura Ann Ryan Physician Assistant 840 S Wood St Ste 417, Chicago, IL 60612-4325 2019-03-06
1548739782 Helen Finke Physician Assistant 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 2018-11-16
1407331184 David Reyes Physician Assistant 2800 N Sheridan Rd Ste 209, Chicago, IL 60657-6157 2018-09-28
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Competitor

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City NEW LENOX
Zip Code 60451

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Dataset Information

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.

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