Cross, Chadrick Antony
Cross, Chadrick Antony is an individual health care provider with primary practice located at 4400 W 95Th St Ste 308 , Oak Lawn IL 60453-2660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Cross, Chadrick Antony can be contacted via phone (708) 346-4040.Contact Information
Primary practice address
4400 W 95Th St Ste 308
Oak Lawn IL 60453-2660
Phone: (708) 346-4040
Fax: (708) 346-3287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01069493A | Indiana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 58016-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036120936 | Illinois |
Profile Details
| NPI number | 1942533070 |
|---|---|
| LBN Legal business name | Cross, Chadrick Antony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2009 |
| Last updated | Dec 16th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942533070 | NPPES |
| Indiana | MEDICAID | 2010299720D | |
| Indiana | MEDICAID | 1942533070 | |
| Indiana | MEDICAID | 036120936 | |
| Indiana | MEDICAID | 2010299720A | |
| Indiana | MEDICAID | 2010299720C | |
| Indiana | MEDICAID | 2010299720E | |
| Indiana | MEDICAID | 2010299720B |
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