Cruz, Kenneth Q

Cruz, Kenneth Q is an individual health care provider with primary practice located at 800 W Central Rd , Arlington Heights IL 60005-2349. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Cruz, Kenneth Q can be contacted via phone (800) 655-2656.

Contact Information

Primary practice address
800 W Central Rd Arlington Heights IL 60005-2349
Phone: (800) 655-2656
Fax: (412) 822-7411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A90441 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X A90441 California

Profile Details

NPI number 1598705196
LBN Legal business name Cruz, Kenneth Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 1st, 2019 - about 6 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 1598705196 NPPES
California Other 00A904410 BLUE SHIELD OF CA
California MEDICAID 00A904410 BLUE SHIELD OF CA

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