| Doctor Name: | MICHAEL ANTONIO DELA CRUZ SALACUP |
| NPI Number: | 1174953053 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | 070.016226 |
| Business Practice Address: | 9238 Waukegan Rd Morton Grove, IL - 600532101 |
| Business Phone Number: | 8476635566 |
| Business Fax Number: | |
| Mailing Address: | 6721 W Irving Park Rd, Apt.1b CHICAGO |
| State: | IL |
| Postal Code: | 606342282 |
| Phone Number: | 7736107625 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2013 |
| NPI Last Update Date: | 11/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070.016226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |