Individual
FRANK DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
2840 SW 144TH CT, MIAMI, FL 33175-7445
(786) 712-8753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.081158
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
05/22/2020
Last updated
03/30/2023
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