Tomczak, Mark A
Tomczak, Mark A is an individual health care provider with primary practice located at 18221 Torrence Ave Suite 1B, Lansing IL 60438-2870. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Tomczak, Mark A can be contacted via phone (708) 895-9450.Contact Information
Primary practice address
18221 Torrence Ave Suite 1B
Lansing IL 60438-2870
Phone: (708) 895-9450
Fax: (708) 895-9455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 209002567 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 28118620A | Indiana |
Profile Details
| NPI number | 1235188533 |
|---|---|
| LBN Legal business name | Tomczak, Mark A |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Apr 20th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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