MEDICARE: DR. CARLITO CRUZ JAVIER 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	207P00000X	Emergency Medicine Physician	036059784	IL

General Provider Information

NPI Number	:	1336229939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLITO CRUZ JAVIER MD

Provider Business Mailing Address
First Line	:	34816 EAGLE WAY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60678-1348
Country	:	US
Telephone Number	:	630-734-0200
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 W 111TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60628-4200
Country	:	US
Telephone Number	:	773-995-3000
Fax Number	:

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	04/19/2021

Similar Medicare Providers

1245222454 — CARL VANCOL MD
Practice Location Address:

45 W 111TH ST , SUITE 304
CHICAGO, IL
60628-4200

Practice Phone: 773-995-3463
Practice Fax:

1265481030 — EMERGENCY MEDICAL SPECIALIST, S.C
Practice Location Address:

45 W 111TH ST
CHICAGO, IL
60628-4200

Practice Phone: 773-995-3000
Practice Fax:

1780634733 — DR. RITA J MCGUIRE M.D.
Practice Location Address:

45 W 111TH ST
CHICAGO, IL
60628-4200

Practice Phone: 773-995-3000
Practice Fax:

1215979729 — DR. MADHUPA SUD M.D.
Practice Location Address:

45 W 111TH ST , SUITE 203
CHICAGO, IL
60628-4200

Practice Phone: 773-995-3460
Practice Fax:

1356365233 — CLARETTA HODGES M.D.
Practice Location Address:

45 W 111TH ST
CHICAGO, IL
60628-4200

Practice Phone: 773-995-3057
Practice Fax:

1568472819 — ROSELAND COMMUNITY HOSPITAL ASSOCIATION
Practice Location Address:

45 W 111TH ST
CHICAGO, IL
60628-4200

Practice Phone: 773-995-3000
Practice Fax: 773-995-6602

Directions to “ DR. CARLITO CRUZ JAVIER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.