Individual provider · Type 1 NPI
Tomasz Boltruczyk, FNP-C
Family Nurse Practitioner · Great Lakes, IL
NPI number
1093564411
Active
Practice location
3420 Illinois St
Great Lakes, IL 60088-3161
Mailing address
5991 Ruby St
Rosemont, IL 60018-4431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209029481 (IL) |
Family Nurse Practitioner: Definition to come...
17 other providers at this address
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- Brett Staib, NAVY IDCIndependent Duty Corpsman Great Lakes, IL NPI 1972793909
- Claire Kubiesa, PhDCounseling Psychologist Great Lakes, IL NPI 1750851788
- Emily J. Baker, DPTPhysical Therapist Great Lakes, IL NPI 1003342536
- Jason Todd Holdeman, PSY.D.Clinical Psychologist Great Lakes, IL NPI 1952385148
- Jason Yungsup Kim, MDFamily Medicine Physician Great Lakes, IL NPI 1346435112
- John E. Dalton, PhDClinical Psychologist Great Lakes, IL NPI 1528042280
- Joseph B. Youkhana, MDFamily Medicine Physician Great Lakes, IL NPI 1972681708
- Julie Lynn Ruddy, PSY.D.Clinical Psychologist Great Lakes, IL NPI 1740251214
- Michael Edward McGarry, MDSports Medicine (Family Medicine) Physician Great Lakes, IL NPI 1639157142
About NPI 1093564411
Tomasz Boltruczyk, FNP-C's National Provider Identifier is 1093564411, issued on May 17, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Great Lakes, IL. The record was last updated on Mar 2, 2025.