Individual
DR. ANTONIO B CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 TANGLEWOOD, SUITE 106, HANOVER PARK, IL 60133
(630) 289-7800
(630) 289-9187
Mailing address
1601 TANGLEWOOD, SUITE 106, HANOVER PARK, IL 60133
(630) 289-7800
(630) 289-9187
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
636040977
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036040977
—
IL
01
—
362715536
BCBS
IL
Enumeration date
09/15/2006
Last updated
10/17/2008
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