Individual
DR. CARLITO CRUZ JAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 W 111TH ST, CHICAGO, IL 60628-4200
(773) 995-3000
Mailing address
34816 EAGLE WAY, CHICAGO, IL 60678-1348
(630) 734-0200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036059784
IL
Other
Enumeration date
10/17/2006
Last updated
04/19/2021
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