JACK RODRIQUEZ (MD) – Psychiatry Physician, NPI 1033199054

JACK RODRIQUEZ (MD) is a healthcare provider. based in Rockford, Illinois. specializing in Psychiatry Physician. They hold the professional credentials MD. The NPI Number for JACK RODRIQUEZ (MD) is 1033199054

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
JACK RODRIQUEZ (MD)
NPI
1033199054
Phone
(815) 636-0825
Address
6072 BRYNWOOD DR
Enumeration Date
17 January 2006
Last Update Date
16 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8156360825
Graduation Year
1979 (47 years ago)
PAC ID
8527198365
Professional Enrollment ID
I20100604000940
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for JACK RODRIQUEZ (MD)

  • 6072, Brynwood Drive, Rockford, Winnebago County, Illinois, 61114, United States

    ROCKFORD, IL 611145829

    Phone: (815) 636-0825

    Fax: (815) 636-2271

    Type: Location

  • PO BOX 15105

    LOVES PARK, IL 611325105

    Phone: (815) 654-7772

    Fax: (815) 654-7009

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61114)

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Reviews

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Frequently asked questions

What identifier follows JACK RODRIQUEZ (MD) across health systems?
The NPI 1033199054 uniquely identifies JACK RODRIQUEZ (MD) in U.S. healthcare data.
Is JACK RODRIQUEZ (MD)'s NPI status active today?
Active status means JACK RODRIQUEZ (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits JACK RODRIQUEZ (MD)?
NPPES ties JACK RODRIQUEZ (MD) to Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit JACK RODRIQUEZ (MD) in Rockford, Illinois?
For routing, start with Rockford, Illinois for JACK RODRIQUEZ (MD), then verify phone and hours locally.
Who maintains JACK RODRIQUEZ (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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