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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TOMASZ BOLTRUCZYK, FNP-C

Active Sole Proprietor

TOMASZ 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 ST
GREAT LAKES, IL, 600883161
Browse 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.