Luis Eduardo Cruz, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3000 N Cicero Ave
Chicago, IL 60641-5106

Phone

(248) 336-4000

Fax

(248) 336-9137

NPI assigned

Jan 15, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Exclusive Physicians - Illinois PLLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1346055365
  Medicare reassignment
• Legacy Medical Care Inc

  • Federally Qualified Health Center (FQHC)
  • Hanover Park, IL
  • NPI 1558810960
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1477324754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 APPLETREE ST",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333901",
            "telephone_number": "630-618-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606415106",
            "telephone_number": "248-336-4000",
            "fax_number": "248-336-9137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5857 W 35th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "608044250",
            "country_code": "US",
            "telephone_number": "708-780-1464",
            "fax_number": "708-780-1468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6620 Barrington Rd",
            "address_purpose": "LOCATION",
            "city": "Hanover Park",
            "state": "IL",
            "postal_code": "601333935",
            "country_code": "US",
            "telephone_number": "630-830-5926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "LUIS",
        "middle_name": "EDUARDO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Cruz
• Jessica Cruz, LCSW
• Jillian Cruz, M.A., LCPC
• Justin Cruz
• Karina Cruz
• Marcelo Rocha de Sousa Cruz, M.D.
• Marisol Cruz
• Melody Cruz, LCSW
• Michelle Cruz
• Omar R Cruz, DMD

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.