PAUL J CRUZ
NPI 1619956935
Obstetrics & Gynecology in Herrin, IL

Active since January 13, 2006
3303 LOGAN DR, REA CLINIC HERRIN, HERRIN, IL 62948(618) 993-5767(618) 724-2571 Get Directions Write a Review

NPPES record last updated: October 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul J Cruz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL J CRUZ (NPI 1619956935) is an individual obstetrics & gynecology provider in Herrin, Illinois, licensed in Illinois (036077364) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1619956935
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NamePAUL J CRUZ
Location Address3303 LOGAN DR, REA CLINIC HERRINHerrin, IL 62948
Mailing AddressPo Box 155, Christopher Greater Area Rural Health Planning CorpChristopher, IL 62822 · (618) 724-2401 · Fax (618) 724-4628
Fax(618) 724-2571
Sole ProprietorNo
Enumeration DateJanuary 13, 2006
Last NPPES UpdateOctober 22, 2011
NPI 1619956935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IL · 036077364
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3303 LOGAN DR, Herrin, IL 62948

Other Identifiers 5

Other175114IL · Healthlink
Medicare ID-Type UnspecifiedK03111
Medicaid036077364IL
Other027163IL · Health Alliance
Medicare UPIND89412

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hospice and Palliative Medicine)
3303 LOGAN DR
HERRIN, IL 62948
Clinic/Center (Rural Health)
3303 LOGAN DR
HERRIN, IL 62948
Licensed Practical Nurse
3303 LOGAN DR
HERRIN, IL 62948
Licensed Practical Nurse
3303 LOGAN DR
HERRIN, IL 62948

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Cruz's NPI number?

The NPI number for Paul Cruz is 1619956935. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Paul Cruz located?

Paul Cruz practices at 3303 Logan Dr Rea Clinic Herrin, Herrin, IL 62948. The listed phone number is (618) 993-5767.

What is Paul Cruz's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Paul Cruz was last updated on October 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.