Johan W Sosa De La Cruz, MD

NPI #1992408215 in Peoria, Illinois

Provider Information

NPI Number
1992408215
Entity Type
Individual
Name
Johan W Sosa De La Cruz, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychiatry & Neurology - Neurology
Credential
MD
Enumeration Date
Mar 24, 2023
Last Updated
Nov 22, 2024

Practice Location

Address
530 NE GLEN OAK AVE
City
Peoria
ZIP Code
61637-0001
Phone
(309) 655-2702

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - NeurologyNeurology

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