SearchIllinois2084N0400X

Johan Sosa De La Cruz, MD

NPI 1992408215 · on the registry since 2023 · sole proprietor

Practice

Address
530 Ne Glen Oak Ave
Peoria, IL 61637
Phone
(309) 655-2702
Organisation at this address
University Of Illinois
University Of Illinois
St. Francis Medical Center
Saint Francis Medical Center
Saint Francis Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,001

Registry record

Primary taxonomy
2084N0400X
2084N0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-22

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