Individual
MARK JOSHUA LAUS DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4400 W 95TH ST STE 308, OAK LAWN, IL 60453-2660
(708) 684-4884
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A141814
CA
207RC0000X
Cardiovascular Disease Physician
Primary
036146459
IL
Other
Enumeration date
03/31/2014
Last updated
05/02/2024
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