Wanda Cruz-gonzalez, DMD is a
Dentist - Oral And Maxillofacial Surgery physician based in Maywood, Illinois. Wanda Cruz-gonzalez is licensed to practice in Illinois (license number ) and her current practice location is 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 216-9000.
NPI number for Wanda Cruz-gonzalez is 1366416349 and her current mailing address is 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366416349.
Physician's Profile
| Full Name | Wanda Cruz-gonzalez |
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| Gender | Female |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 2160 S First Ave, Maywood, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366416349
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 03/12/2008
Medical Identifiers
Medical identifiers for Wanda Cruz-gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366416349 | NPI | - | NPPES |
| 36055205 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 36055205 (Illinois) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wanda Cruz-gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wanda Cruz-gonzalez, DMD
2160 S First Ave, 101 1740 Loyola University Medical Center,
Maywood, IL 60153
Ph: (708) 216-9000 | Wanda Cruz-gonzalez, DMD
2160 S First Ave, 101 1740 Loyola University Medical Center,
Maywood, IL 60153
Ph: (708) 216-9000 |
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