Individual
DAVID T. CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 W ADAMS ST, MORTON, IL 61550-1802
(217) 528-7541
(309) 676-6545
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
(217) 525-7616
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036118871
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118871
—
IL
Enumeration date
05/05/2007
Last updated
09/02/2021
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