| Mrs Jessica E Rodriguez, PA | |
|
1870 Silver Cross Blvd, Suite 200, New Lenox, IL 60451-8639 | |
| (815) 462-3474 | |
| (630) 794-8615 |
| Full Name | Mrs Jessica E Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 1870 Silver Cross Blvd, New Lenox, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265774806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 085004671 (Illinois) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica E Rodriguez, PA 550 W Ogden Ave, Hinsdale, IL 60521-3186 Ph: (630) 323-6116 | Mrs Jessica E Rodriguez, PA 1870 Silver Cross Blvd, Suite 200, New Lenox, IL 60451-8639 Ph: (815) 462-3474 |
Adrian Michalik, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1870 Silver Cross Blvd Ste 200, New Lenox, IL 60451 Phone: 630-323-6116 Fax: 815-744-4756 |
Ms. Elizabeth Marie Dibella, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1890 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-723-4387 Fax: 815-723-4634 |
Ms. Cammie C Liu, MMS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-300-1032 |
Maria Wemple, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1890 Silver Cross Blvd, Suite 210, New Lenox, IL 60451 Phone: 815-463-3000 |
Ms. Kimberly Ann Simon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 Silver Cross Blvd, New Lenox, IL 60451 Phone: 708-888-8287 Fax: 815-300-3567 |
Gabrielle Loeck, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1870 Silver Cross Blvd Ste 200, New Lenox, IL 60451 Phone: 630-323-6116 Fax: 815-462-1032 |
Megan Elizabeth Suligoy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 250 E Maple St, New Lenox, IL 60451 Phone: 815-485-0760 Fax: 815-463-6138 |