| Doctor Name: | DR. BALBINA BORROMEO TOMACRUZ |
| NPI Number: | 1750526356 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 36-46523 |
| Business Practice Address: | 4500 College Ave. Alton Mental Health Center Alton, IL - 620025099 |
| Business Phone Number: | 6184743200 |
| Business Fax Number: | 6184743983 |
| Mailing Address: | 256 Monson Court, SCHAUMBURG |
| State: | IL |
| Postal Code: | 60173 |
| Phone Number: | 8479958073 |
| Fax Number: | 8479958017 |
| NPI Enumeration Date: | 12/10/2008 |
| NPI Last Update Date: | 12/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 36-46523 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |