JACK RODRIQUEZ MD
NPI 1033199054
Psychiatry & Neurology - Psychiatry in Rockford, IL

Active since January 17, 2006
6072 BRYNWOOD DR, ROCKFORD, IL 61114(815) 636-0825(815) 636-2271 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Rodriquez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK RODRIQUEZ MD (NPI 1033199054) is an individual psychiatry provider in Rockford, Illinois and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1033199054
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJACK RODRIQUEZCredential: MD
Location Address6072 BRYNWOOD DRRockford, IL 61114-5829
Mailing AddressPo Box 15105Loves Park, IL 61132-5105 · (815) 654-7772 · Fax (815) 654-7009
Fax(815) 636-2271
Sole ProprietorYes
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJuly 16, 2007
NPI 1033199054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
6072 BRYNWOOD DR, Rockford, IL 61114

Other Identifiers 2

Medicare UPIND15869
Medicare PIN744760IL

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
6072 BRYNWOOD DR
ROCKFORD, IL 61114
Physical Therapist
6072 BRYNWOOD DR, SUITE 102
ROCKFORD, IL 61114
Counselor (Professional)
6072 BRYNWOOD DR, SUITE 105
ROCKFORD, IL 61114
Psychologist (Clinical)
6072 BRYNWOOD DR, STE 105
ROCKFORD, IL 61114
Counselor (Mental Health)
6072 BRYNWOOD DR, SUITE 107
ROCKFORD, IL 61114
Psychologist (Clinical)
6072 BRYNWOOD DR, 105
ROCKFORD, IL 61114
Physical Therapist
6072 BRYNWOOD DR, STE 102
ROCKFORD, IL 61114
Social Worker (Clinical)
6072 BRYNWOOD DR, SUITE 105
ROCKFORD, IL 61114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Rodriquez's NPI number?

The NPI number for Jack Rodriquez is 1033199054. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Jack Rodriquez located?

Jack Rodriquez practices at 6072 Brynwood Dr, Rockford, IL 61114. The listed phone number is (815) 636-0825.

What is Jack Rodriquez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Jack Rodriquez was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.