MEDICARE: DR. DONALD F CRONIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	C52059	CA
2	207RN0300X	Nephrology Physician	C52059	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144288739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD F CRONIN MD

Provider Business Mailing Address
First Line	:	210 S DESPLAINES ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60661-5500
Country	:	US
Telephone Number	:	312-654-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	27750 W HIGHWAY 22
Second Line	:	SUITE 120
City	:	BARRINGTON
State	:	IL
Zip	:	60010-2379
Country	:	US
Telephone Number	:	847-655-7264
Fax Number	:	847-655-7262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	03/02/2017

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