MR. MARCELO ROCHA DE SOUSA CRUZ


Address: 233 East Superior Street, 1st Floor, Chicago, IL 60611
Phone: 3124721234

MR. MARCELO ROCHA DE SOUSA CRUZ (NPI# 1831647205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831647205
Entity Type Individual
Full Name MR. MARCELO ROCHA DE SOUSA CRUZ
Credential M.D.
Practice Address 233 East Superior Street
1st Floor
Chicago
IL 60611
Mailing Address 233 East Superior Street, Suite 01-023
Chicago
IL 60611
Practice Telephone 3124721234
Practice Fax Number 3124720574
Mailing Telephone 3124721234
Mailing Fax Number 3124720564
Enumeration Date 2016-09-14
Last Update Date 2017-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
125069681 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
IL NPI 1831647205 01

Office Location

Street Address 233 EAST SUPERIOR STREET
1ST FLOOR
City CHICAGO
State IL
Zip Code 60611

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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720426513 Michael John Jelinek Internal Medicine 1725 W Harrison St Ste 809, Chicago, IL 60612-3861 2013-06-13
1265696348 Sunandana Chandra Internal Medicine 645 N. Michigan Avenue, Suite 1006, Chicago, IL 60611 2008-07-17
1417011529 Alicia Katherine Morgans Internal Medicine 676 N Saint Clair St Fl 21, Chicago, IL 60611-2927 2006-12-21
1306873211 Blase Nicholas Polite Internal Medicine 5841 S Maryland Ave Mc 2115, Chicago, IL 60637 2006-06-27
1154380582 Victoria M Villaflor Internal Medicine 5841 S. Maryland, Chicago, IL 60637 2006-03-23
1073015236 Ctca Physicians Group of Illinois, Inc Internal Medicine 160 E Illinois St, Chicago, IL 60611-5426 2018-03-05
1164884227 Namrata Narendra Singh Internal Medicine 836 W Wellington Ave, Chicago, IL 60657-5147 2016-03-27
1942661483 Yolande Chen Internal Medicine 303 E Superior St, Rm 5-220e, Chicago, IL 60611-3015 2016-03-11
1174944516 Carol Palackdharry Internal Medicine 333 W Wacker Dr, Chicago, IL 60606-1220 2014-01-03
1013273614 Abiola Falilat Ibraheem Internal Medicine 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 2012-04-09
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City CHICAGO
Zip Code 60611

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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