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Contact Information

PAUL J CRUZ
3303 LOGAN DR
REA CLINIC HERRIN
HERRIN, IL62948
 Phone: 618-993-5767
 Fax: 618-724-2571
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PAUL J CRUZ · (Male)

NPI Number 1619956935
Status Active
Credentials
Entity Individual
Enumeration date 01/13/2006
Last updated 10/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036077364
  • IL Medicaid 036077364
  • IL Other 027163 HEALTH ALLIANCE
  • IL Other 175114 HEALTHLINK
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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