Cruz, Cecilia
Cruz, Cecilia is an sole proprietor health care provider with primary practice located at 2650 Ridge Ave Evanston Hospital, Evanston IL 60201-1718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Cruz, Cecilia can be contacted via phone (847) 570-2114.Contact Information
Primary practice address
2650 Ridge Ave Evanston Hospital
Evanston IL 60201-1718
Phone: (847) 570-2114
Fax: (847) 570-1223
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036101011 | Illinois |
Profile Details
NPI number | 1518917681 |
---|---|
LBN Legal business name | Cruz, Cecilia |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 11th, 2006 |
Last updated | Nov 8th, 2016 - about 8 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 | 1518917681 | NPPES |
Illinois | MEDICAID | 0361010111 | |
Illinois | Other | P00305717 |
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