Provider Demographics
NPI:1750352050
Name:DELA CRUZ, YOLANDA P (MD)
Entity type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:P
Last Name:DELA CRUZ
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:403 E 1ST ST
Mailing Address - Street 2:KATHERINE SHAW BETHEA HOSPITAL
Mailing Address - City:DIXON
Mailing Address - State:IL
Mailing Address - Zip Code:61021-3116
Mailing Address - Country:US
Mailing Address - Phone:815-285-5600
Mailing Address - Fax:815-285-5602
Practice Address - Street 1:403 E 1ST ST
Practice Address - Street 2:KATHERINE SHAW BETHEA HOSPITAL
Practice Address - City:DIXON
Practice Address - State:IL
Practice Address - Zip Code:61021-3116
Practice Address - Country:US
Practice Address - Phone:815-285-5600
Practice Address - Fax:815-285-5602
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL50814Medicare PIN
F43348Medicare UPIN