Ralph Dela Cruz, | |
609 Jon Ln, Des Plaines, IL 60016-1003 | |
(224) 402-3175 | |
Not Available |
Full Name | Ralph Dela Cruz |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 609 Jon Ln, Des Plaines, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972223964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.025854 (Illinois) | Primary |
Entity Name | Cook County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Entity Name | Uropartners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073567905 PECOS PAC ID: 9436182946 Enrollment ID: O20050915000277 |
Mailing Address | Practice Location Address |
---|---|
Ralph Dela Cruz, 5201 Willow Springs Rd Ste 380, La Grange Highlands, IL 60525-6539 Ph: (708) 354-2550 | Ralph Dela Cruz, 609 Jon Ln, Des Plaines, IL 60016-1003 Ph: (224) 402-3175 |
Caroline Odior Shodunola, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 595 Anita St # 595a, Des Plaines, IL 60016 Phone: 773-475-1210 | |
Ms. Susan A Mack, APRN-FPA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 514 Teela Ln, Des Plaines, IL 60016 Phone: 847-692-6000 Fax: 847-692-6112 | |
Amitaben Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2250 E Devon Ave Ste 333, Des Plaines, IL 60018 Phone: 224-803-2273 | |
Sivani Patel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1426 Danbury Ln, Des Plaines, IL 60018 Phone: 224-595-7813 | |
Mr. Ibrahim Aldasoqi, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Potter Rd, Des Plaines, IL 60016 Phone: 773-319-2317 | |
Purvi Gabhawala, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 N River Rd, Des Plaines, IL 60016 Phone: 847-290-1300 | |
Christina Valdivia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Rand Rd Ste 120, Des Plaines, IL 60016 Phone: 312-767-3244 |