Individual
KATIE GENEVIEVE DCRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
332 S MICHIGAN AVE, CHICAGO, IL 60604-4434
(855) 229-2191
(312) 579-0467
Mailing address
13900 RIVERPORT DR, MARYLAND HEIGHTS, MO 63043-4804
(855) 229-2177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041395058
IL
363LG0600X
Gerontology Nurse Practitioner
2024044706
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
209012527
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209012527
IL
Other
Enumeration date
03/27/2015
Last updated
02/09/2026
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