Provider Demographics
NPI:1174649560
Name:DELACRUZ, VERONICA (DC)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:
Last Name:DELACRUZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-2538
Mailing Address - Country:US
Mailing Address - Phone:630-514-7039
Mailing Address - Fax:630-820-2831
Practice Address - Street 1:1055 N FARNSWORTH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-2007
Practice Address - Country:US
Practice Address - Phone:630-898-7979
Practice Address - Fax:630-820-2831
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILV07994Medicare UPIN
ILK24496Medicare ID - Type Unspecified