| Jonathan Cruz, | |
|
10201 S Cicero Ave Ste A, Oak Lawn, IL 60453-4672 | |
| (708) 658-2770 | |
| Not Available |
| Full Name | Jonathan Cruz |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 10201 S Cicero Ave Ste A, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124757752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 056-014880 (Illinois) | Primary |
| Provider Name | Advocate Health And Hospitals Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Provider Name | Genesis Orthopedics & Sports Medicine Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346389061 PECOS PAC ID: 7618955808 Enrollment ID: O20040713001038 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Cruz, 29373 Network Pl, Chicago, IL 60673-4672 Ph: (847) 390-5900 | Jonathan Cruz, 10201 S Cicero Ave Ste A, Oak Lawn, IL 60453-4672 Ph: (708) 658-2770 |
Jennifer Marsiglio, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5425 | |
Elizabeth A Folliard, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5369 | |
Patricia E Lugowski, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5425 Fax: 708-684-3652 | |
Timothy Mcmullen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9108 S 53rd Ave, Oak Lawn, IL 60453 Phone: 708-595-9916 | |
Dornica D Griffin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4425 W 95th St, Oak Lawn, IL 60453 Phone: 708-422-4441 Fax: 708-422-2122 | |
Lucia Arellano Duran, LUCIA ARELLANO OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5540 W 111th St, Oak Lawn, IL 60453 Phone: 773-373-3333 | |
Amanda Kathleen Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-1323 Fax: 708-684-4914 |