ANTONIO B. CRUZ M.D.S.C. NPI 1356506307

NPI Information

  • NPI: 1356506307
  • Provider Name: ANTONIO B. CRUZ M.D.S.C.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1601 TANGLEWOOD AVE STE 106
    HANOVER PARK, IL
    ZIP 60133
  • Phone: (630) 289-7800

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NPI Details

ANTONIO B. CRUZ M.D.S.C. is a primary care clinic center in Hanover Park, IL. ANTONIO B. CRUZ M.D.S.C. NPI is 1356506307. The provider is registered as an organization entity type.

The provider's business location address is:

1601 TANGLEWOOD AVE STE 106
HANOVER PARK, IL
ZIP 60133-381
Phone: (630) 289-7800
Fax: (630) 289-9187

The provider's authorized official is Antonio B. Cruz .
The authorized official title is President and has the following contact phone number (630) 289-7800.

The enumeration date for this NPI number is 7/18/2008 and was last updated on 10/17/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care3640977ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036040977MEDICAIDILLINOIS
2D12147MEDICARE UPINILLINOIS
3362175536OTHERILLINOISBCBS
4454950MEDICARE PIN

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: 11/21/2025

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