Dr Jonathan E Dela Cruz, MD | |
701 N. 1st Street, Springfield, IL 62702 | |
(217) 545-7409 | |
(217) 545-2711 |
Full Name | Dr Jonathan E Dela Cruz |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 701 N. 1st Street, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639335912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036122108 (Illinois) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Midwest Emergency Department Specialists Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245263367 PECOS PAC ID: 5193627727 Enrollment ID: O20040123000845 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan E Dela Cruz, MD Po Box 19638, Springfield, IL 62794-9638 Ph: (217) 545-7409 | Dr Jonathan E Dela Cruz, MD 701 N. 1st Street, Springfield, IL 62702 Ph: (217) 545-7409 |
Christopher Inabnit, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 Fax: 217-545-2711 | |
Dr. Sumesh Jain, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-757-7465 Fax: 217-788-5591 | |
Kelly Galanos, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 Fax: 217-545-2711 | |
Dr. Shreya Lankala, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 | |
Dr. Alexis Catherine Gazda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 | |
Michaelia Vasilia Fosses Vuong, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 N 1st St Ste D220, Springfield, IL 62702 Phone: 217-545-3518 | |
Dr. Kylee Marie Elleman, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St Ste D220, Springfield, IL 62781 Phone: 217-545-3518 |