Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TOMASZ BOLTRUCZYK, FNP-C
Active Sole ProprietorTOMASZ BOLTRUCZYK, FNP-C is a Family Nurse Practitioner healthcare provider located in GREAT LAKES, Illinois. NPI 1093564411 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · GREAT LAKES, IL
Registration Details
- NPI Number
- 1093564411
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2024 (2.2032181584193 yrs)
- Last Updated
- Mar 2, 2025
- License
-
209029481 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3420 ILLINOIS STGREAT LAKES, IL, 600883161Browse IL providers · Browse ZIP 60088
- Phone
- 8476885568
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.