person
Dr. Antonio B Cruz, MD
General Practice Physician in Hanover Park, Illinois
NPI 1013013374

Antonio B Cruz is a General Practice Physician based in Hanover Park, IL. Antonio B Cruz practices in Hanover Park, IL and has the professional credentials of MD. The NPI Number for Antonio B Cruz is 1013013374 and holds a License No. 636040977 (Illinois).

The current practice location address for Antonio B Cruz is 1601 Tanglewood, Hanover Park, IL and can be reached out via phone at 630-289-7800 and via fax at 630-289-9187.

Location: 1601 Tanglewood, Hanover Park, IL, 60133
person
Provider Profile Details
NPI Number
1013013374
Provider Name
Antonio B Cruz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1601 Tanglewood, Hanover Park, IL, 60133
Phone Number
630-289-7800
Fax Number
630-289-9187
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
362715536 01 IL BCBS
036040977 05 IL
institution
Provider Business Practice Location Address Details
Address
1601 Tanglewood
City
State
Zip
60133
Phone Number
630-289-7800
Fax Number
630-289-9187
person
Provider Business Mailing Address Details
Address
1601 Tanglewood
City
State
Zip
60133
Phone Number
630-289-7800
Fax Number
630-289-9187
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
636040977 (Illinois)
Definition
Definition to come...
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