Provider Demographics
NPI:1922006451
Name:DELACRUZ-NEWLAN, FRANCISCO (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:
Last Name:DELACRUZ-NEWLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-2834
Mailing Address - Country:US
Mailing Address - Phone:217-223-1200
Mailing Address - Fax:
Practice Address - Street 1:1005 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-2834
Practice Address - Country:US
Practice Address - Phone:217-223-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.099670207L00000X
MO2008009075207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA016487001OtherGROUP HEALTH CORP
WA910847215OtherUNIFORM MEDICAL
WAA035OtherTRIWEST (CHAMPUS)
WA8366148Medicaid
WA910847215OtherPREMERA BLUE CROSS
WA910847215-36OtherKPS NUMBER
WA7215DEOtherREGENCE BLUE SHIELD
WA8932656OtherVICTIMS OF CRIME
WA0172507OtherLABOR AND INDUSTRIES
WAP00055294OtherRAILROAD MEDICARE