Cordero, Nela Rodriguez

Cordero, Nela Rodriguez is an sole proprietor health care provider with primary practice located at 2002 N Damen Ave , Chicago IL 60647-4527. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Cordero, Nela Rodriguez can be contacted via phone (773) 486-6553.

Contact Information

Primary practice address
2002 N Damen Ave Chicago IL 60647-4527
Phone: (773) 486-6553
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 036053399 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036053399 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036053399 Illinois

Profile Details

NPI number 1649325929
LBN Legal business name Cordero, Nela Rodriguez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Apr 14th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649325929 NPPES
Illinois MEDICAID 036053399

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