Jack Rodriquez, MD - Psychiatry & Neurology in Rockford, IL

Jack Rodriquez, MD is a Psychiatry & Neurology - Psychiatry physician based in Rockford, Illinois. Jack Rodriquez is licensed to practice in Illinois (license number ) and his current practice location is 6072 Brynwood Dr, Rockford, Illinois. He can be reached at his office (for appointments etc.) via phone at (815) 636-0825.

NPI number for Jack Rodriquez is 1033199054 and his current mailing address is Po Box 15105, Loves Park, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033199054.

Contact Information

Jack Rodriquez, MD
6072 Brynwood Dr,
Rockford, IL 61114-5829
(815) 636-0825
(815) 636-2271



Physician's Profile

Full NameJack Rodriquez
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location6072 Brynwood Dr, Rockford, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033199054
  • Provider Enumeration Date: 01/17/2006
  • Last Update Date: 07/16/2007

Medical Identifiers

Medical identifiers for Jack Rodriquez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033199054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Rodriquez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack Rodriquez, MD
Po Box 15105,
Loves Park, IL 61132-5105

Ph: (815) 654-7772
Jack Rodriquez, MD
6072 Brynwood Dr,
Rockford, IL 61114-5829

Ph: (815) 636-0825

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› Verified 4 days ago


Psychiatry & Neurology Doctors in Rockford, IL

Shahina H Jafry, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 526 W. State Street, Rockford, IL 61101
Phone: 815-968-9300    Fax: 815-968-5314
Delsie Bella Gavali, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 526 W State Street, Rockford, IL 61101
Phone: 815-968-9300    Fax: 815-968-5314
Carol L Craig, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 526 W State Street, Rockford, IL 61101
Phone: 815-968-9300    
Carol Stamp Dubois, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 526 W State Street, Rockford, IL 61101
Phone: 815-968-9300    Fax: 815-968-5314
Dr. Steven Kouris, DO
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Parkview Ave, University Psychiatric Services, Rockford, IL 61107
Phone: 815-395-5870    Fax: 815-395-5644
Dr. Mohsin Khan, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2350 N Rockton Ave, Rockford Health Physicians, Rockford, IL 61103
Phone: 815-971-7600    Fax: 815-971-9901

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