CARLOS CRUDUP

GLENWOOD, IL
NPI1174556484
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-112800)
Enumeration Date2006-07-09
Last Update Date2016-02-02
Business Address
-- CARLOS CRUDUP M.D.
19310 S HALSTED ST
GLENWOOD, IL 60425-1562
Phone number: 708-300-3132
Mailing Address
-- CARLOS CRUDUP M.D.
19310 S HALSTED ST
GLENWOOD, IL 60425-1562
Phone number: 708-300-3132
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