Delacruz, Michael Paul

Delacruz, Michael Paul is an individual health care provider with primary practice located at 2 Good Samaritan Way Ste 420 , Mount Vernon IL 62864-2478. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Delacruz, Michael Paul can be contacted via phone (618) 899-4000.

Contact Information

Primary practice address
2 Good Samaritan Way Ste 420 Mount Vernon IL 62864-2478
Phone: (618) 899-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD443556 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT193998 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036414355 Illinois

Profile Details

NPI number 1629232087
LBN Legal business name Delacruz, Michael Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2008
Last updated Dec 18th, 2020 - 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.

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