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Individual

JONATHAN CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10201 S CICERO AVE STE A, OAK LAWN, IL 60453-4672
(708) 658-2770
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-4672
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary
056-014880
IL

Other

Enumeration date
06/08/2022
Last updated
12/15/2022
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