Dr. Antonio B Cruz, MD
General Practice in Hanover Park, IL. Individual provider (NPI-1).
NPI number1013013374
StatusActive
Last updated in NPPESOct 17, 2008
Details
- NPI
- 1013013374
- Entity type
- Individual (NPI-1)
- Name
- Dr. Antonio B Cruz
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2006
- Last updated
- Oct 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 636040977 | IL | Yes |
Practice location
1601 TanglewoodSuite 106
Hanover Park, IL 60133
Phone 630-289-7800 · Fax 630-289-9187
Mailing address
1601 TanglewoodSuite 106
Hanover Park, IL 60133
Phone 630-289-7800 · Fax 630-289-9187
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