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
Fax: (847) 570-1223
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518917681 NPPES
Illinois MEDICAID 0361010111
Illinois Other P00305717

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