Antonio B. Cruz M.D.S.C.

LBN: Antonio B. Cruz M.D.S.C.
Antonio B. Cruz M.D.S.C. is an health care organization with primary practice located at 1601 Tanglewood Ave Ste 106 , Hanover Park IL 60133-3381. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Antonio B. Cruz M.D.S.C. can be contacted via phone (630) 289-7800, or through Cruz, Antonio B. via phone (630) 289-7800.

Contact Information

Primary practice address
1601 Tanglewood Ave Ste 106 Hanover Park IL 60133-3381
Phone: (630) 289-7800
Fax: (630) 289-9187
Website:
Map and Directions
Authorized official contact:
Name: Cruz, Antonio B. Doctor of Medicine (MD)
Phone: (630) 289-7800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 3640977 Illinois

Profile Details

NPI number 1356506307
LBN Legal business name Antonio B. Cruz M.D.S.C.
DBA Doing business as
Authorized official Cruz, Antonio B. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2008
Last updated Oct 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356506307 NPPES
Illinois MEDICAID 036040977
Illinois Other 362175536

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