Individual
DR. ELIZABETH M. CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 W IRVING PARK RD STE 206, CHICAGO, IL 60613-3011
(773) 975-6825
(773) 404-0713
Mailing address
818 LEYDEN LN, WILMETTE, IL 60091-2159
(847) 853-7981
(773) 404-0713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036085454
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085454
—
IL
01
—
335251
PTAN
IL
Enumeration date
01/23/2007
Last updated
10/25/2013
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