Individual provider · Type 1 NPI
Johan W. Sosa de la Cruz, MD
Neurology Physician · Peoria, IL
NPI number
1992408215
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 125.082150 (IL) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1992408215
Johan W. Sosa de la Cruz, MD's National Provider Identifier is 1992408215, issued on Mar 24, 2023. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Peoria, IL. The record was last updated on Nov 22, 2024.