Individual provider · Type 1 NPI
Katie Genevieve Dcruz, AGNP-C
Gerontology Nurse Practitioner · Chicago, IL
NPI number
1124412168
Active
Practice location
332 S Michigan Ave
Chicago, IL 60604-4434
Fax (312) 579-0467
Mailing address
13900 Riverport Dr
Maryland Heights, MO 63043-4804
Other practice locations
- 7777 Bonhomme Ave Ste 1800, Clayton, MO 63105-1931 · (855) 229-2177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2024044706 (MO) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209012527 (IL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1124412168
Katie Genevieve Dcruz, AGNP-C's National Provider Identifier is 1124412168, issued on Mar 27, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chicago, IL. The record was last updated on Feb 9, 2026.