Individual
PAUL J CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3303 LOGAN DR, REA CLINIC HERRIN, HERRIN, IL 62948
(618) 993-5767
(618) 724-2571
Mailing address
PO BOX 155, CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP, CHRISTOPHER, IL 62822
(618) 724-2401
(618) 724-4628
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036077364
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027163
HEALTH ALLIANCE
IL
05
—
036077364
—
IL
01
—
175114
HEALTHLINK
IL
Enumeration date
01/13/2006
Last updated
10/22/2011
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