Organization · Type 2 NPI
Antonio B. Cruz M.d.s.c.
Primary Care Clinic/Center · Hanover Park, IL
NPI number
1356506307
Active
Practice location
1601 Tanglewood Ave Ste 106
Hanover Park, IL 60133-3381
Fax (630) 289-9187
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 3640977 (IL) |
Primary Care Clinic/Center: Definition to come...
About NPI 1356506307
Antonio B. Cruz M.d.s.c.'s National Provider Identifier is 1356506307, issued on Jul 18, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Hanover Park, IL. The record was last updated on Oct 17, 2008.