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Search › Illinois › 207RI0200X

Rafael De La Cruz, MD

NPI 1669460655 · on the registry since 2005

Practice

Address
4 Memorial Dr Ste 230b
Alton, IL 62002
Phone
(636) 344-2014
Fax
(314) 747-1476
Organisation at this address
Pediatric Healthcare Unlimited
Southern Illinois Health Care Foundation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
73

Registry record

Primary taxonomy
207RI0200X
207RI0200X
Also registered as
207RI0200X
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-26

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