Provider Demographics
NPI:1497727200
Name:DELACRUZ, PAPA WIN (MD)
Entity Type:Individual
Prefix:MRS
First Name:PAPA
Middle Name:WIN
Last Name:DELACRUZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:600 W LAKE COOK RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-2089
Mailing Address - Country:US
Mailing Address - Phone:847-808-8884
Mailing Address - Fax:847-808-8890
Practice Address - Street 1:600 W LAKE COOK RD
Practice Address - Street 2:SUITE 120
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-2089
Practice Address - Country:US
Practice Address - Phone:847-808-8884
Practice Address - Fax:847-808-8890
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-108199207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036108199Medicaid
K12122Medicare PIN
IL036108199Medicaid