Provider Demographics
NPI:1144288739
Name:CRONIN, DONALD F (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:F
Last Name:CRONIN
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 1:210 S DESPLAINES ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-5500
Mailing Address - Country:US
Mailing Address - Phone:312-654-2700
Mailing Address - Fax:
Practice Address - Street 1:27750 W HIGHWAY 22
Practice Address - Street 2:SUITE 120
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2379
Practice Address - Country:US
Practice Address - Phone:847-655-7264
Practice Address - Fax:847-655-7262
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC52059207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C520590Medicaid
CAWC52059AMedicare ID - Type Unspecified
IL603040005Medicare PIN
ILIL4988001Medicare PIN
G15431Medicare UPIN