institution
Antonio B. Cruz M.d.s.c.
Primary Care Clinic/Center in Hanover Park, Illinois
NPI 1356506307

Antonio B. Cruz M.d.s.c. is a Primary Care Clinic/Center based in Hanover Park, IL and is specialized in Primary Care. Antonio B. Cruz M.d.s.c. practices in Hanover Park, IL. The NPI Number for Antonio B. Cruz M.d.s.c. is 1356506307 and holds a License No. 3640977 (Illinois).

The current practice location address for Antonio B. Cruz M.d.s.c. is 1601 Tanglewood Ave Ste 106, Hanover Park, IL and can be reached out via phone at 630-289-7800 and via fax at 630-289-9187.

Location: 1601 Tanglewood Ave Ste 106, Hanover Park, IL, 60133-3381
institution
Provider Profile Details
NPI Number
1356506307
Provider Name
Antonio B. Cruz M.d.s.c.
Credential
Provider Entity Type
Organization
Address
1601 Tanglewood Ave Ste 106, Hanover Park, IL, 60133-3381
Phone Number
630-289-7800
Fax Number
630-289-9187
Provider Enumeration Date
07/18/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
036040977 05 IL
362175536 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
1601 Tanglewood Ave Ste 106
City
State
Zip
60133-3381
Phone Number
630-289-7800
Fax Number
630-289-9187
person
Provider Business Mailing Address Details
Address
1601 Tanglewood Ave Ste 106
City
State
Zip
60133-3381
Phone Number
630-289-7800
Fax Number
630-289-9187
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
3640977 (Illinois)
Definition
Definition to come...
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