Individual
CHRISTOPHER CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
194 HARDING DR, GLENDALE HEIGHTS, IL 60139-1822
(630) 220-5241
Mailing address
194 HARDING DR, GLENDALE HEIGHTS, IL 60139-1822
(630) 220-5241
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043109908
IL
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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