Organization
MIDWEST EMERGENCY NORTHERN ILLINOIS INC
Active
Organization
MIDWEST EMERGENCY NORTHERN ILLINOIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM W CRUZEN DO (PRESIDENT)
(618) 624-3368
Entity
Organization
Contact information
Practice address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 433-3100
Mailing address
PO BOX 8220, FORT WORTH, TX 76124-0220
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/04/2008
Last updated
06/30/2008
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