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MARIANA VIGIOLA CRUZ NPI 1104184944


NPI Information

NPI: 1104184944
Provider Name: MARIANA VIGIOLA CRUZ
Classification: Surgery - 2086S0127X
Entity Type: Individual

Specialization: Trauma Surgery

Organization: GUAM HEALTHCARE DEVELOPMENT INCORPORATED

PECOS Registration: Yes

Address:
800 N WESTMORELAND RD STE 100
LAKE FOREST, IL
ZIP 60045
Phone: (847) 535-7208
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Mariana Vigiola Cruz is a trauma surgery surgery in Lake Forest, IL with 11 years of experience. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. Mariana Vigiola Cruz NPI is 1104184944. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 N WESTMORELAND RD STE 100
LAKE FOREST, IL
ZIP 60045-671
Phone: (847) 535-7208

The NPI 1104184944 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/30/2012 and was last updated on 5/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery297702-1NEW YORKNo
2208600000XSurgery036153330ILLINOISNo
3208600000XSurgeryM-2253GUAMNo
42086S0127XSurgeryTrauma Surgery036153330ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.