Jonathan E. Dela Cruz M.D.

NPI 1639335912 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1639335912
Gender Male
Enumeration Date 08/05/2008
Last Updated 03/13/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
701 N. 1ST STREET
SPRINGFIELD IL, 62702, US
Phone (217) 545-7409
Fax (217) 545-2711
Business Location
PO BOX 19638
SPRINGFIELD IL, 62794-9638, US
Phone (217) 545-7409
Fax (217) 545-2711
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jonathan E. Dela Cruz M.D. NPI is 1639335912, taxonomy code is 390200000X Jonathan E. Dela Cruz M.D. physically located at 701 N. 1st Street, Springfield IL, 62702. NPI Number Jonathan E. Dela Cruz M.D. has the Individual type.

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1639335912 NPI number is provided on an as is basis without warranty of any kind. 1639335912 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan E. Dela Cruz M.D. are for informational purposes only.