NPI 1013013374

Antonio B Cruz, MD

Practitioner General Practice Physician Hanover Park, IL

Practice location

Address: 1601 Tanglewood Suite 106, Hanover Park, IL 60133
Phone: (630) 289-7800
Fax: (630) 289-9187

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 636040977 (IL)

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Registry record

NPI: 1013013374
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2006
Record last updated: 17 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.