Individual
JOANNE RAFAEL CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9735 SKOKIE BLVD, SKOKIE, IL 60077-1383
(847) 380-8969
(847) 972-1117
Mailing address
9735 SKOKIE BLVD, SKOKIE, IL 60077-1383
(847) 380-8969
(847) 972-1117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209022906
IL
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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