Individual
DR. CHADRICK ANTONY CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4400 W 95TH ST STE 308, OAK LAWN, IL 60453-2660
(708) 346-4040
(708) 346-3287
Mailing address
9500 BORMET DR STE 204, MOKENA, IL 60448-8399
(708) 346-4044
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01069493A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036120936
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
58016-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120936
—
IL
05
—
1942533070
—
MI
05
—
2010299720A
—
IN
05
—
2010299720B
—
IN
05
—
2010299720C
—
IN
05
—
2010299720D
—
IN
05
—
2010299720E
—
IN
Enumeration date
09/08/2009
Last updated
12/16/2021
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