NPI
Tomasz Boltruczyk
NPI 1093564411
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- FNP-C
- Type
- Individual
- Enumeration date
- 2024-05-17
- Last updated
- 2025-03-02
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Specialties
Licenses
- License IL
- 209029481
Location
- Practice location
- 3420 Illinois St
- City
- Great Lakes IL
- Postal code
- 60088-3161
- Phone
- (847) 688-5568
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Great Lakes, IL. 294 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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