Individual
DR. JENNIFER ANNE REGAN DELACRUZ
Active
Individual
DR. JENNIFER ANNE REGAN DELACRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125056188
IL
207RI0200X
Infectious Disease Physician
Primary
036132162
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036132162
MEDICAID
IL
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
F400230237
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
05/13/2010
Last updated
09/17/2015
Update your record
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