Search › Illinois › 104100000X
Maricruz De La Vega
NPI 1639723547 · on the registry since 2019
Practice
- Address
- 3843 W 63rd St
Chicago, IL 60629 - Phone
- (773) 884-2212
- Organisation at this address
- Metropolitan Family Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois