Individual
BEVERLY DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 N OAKMONT DR, GLENDALE HEIGHTS, IL 60139-3637
(773) 494-5194
Mailing address
1302 N OAKMONT DR APT 304, GLENDALE HEIGHTS, IL 60139-3637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019567
IL
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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