Individual
MR. MARCELO ROCHA DE SOUSA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
233 EAST SUPERIOR STREET, 1ST FLOOR, CHICAGO, IL 60611
(312) 472-1234
(312) 472-0574
Mailing address
233 EAST SUPERIOR STREET, SUITE 01-023, CHICAGO, IL 60611
(312) 472-1234
(312) 472-0564
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
125069681
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831647205
NPI
IL
Enumeration date
09/14/2016
Last updated
03/27/2017
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