TOMASZ BOLTRUCZYK FNP-C
NPI 1093564411
Nurse Practitioner - Family in Great Lakes, IL

Active since May 17, 2024
3420 ILLINOIS ST, GREAT LAKES, IL 60088(847) 688-5568 Get Directions Write a Review

NPPES record last updated: March 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2025, May 17, 2024 (2 updates tracked since 2024).

  • Individual
  • Male
  • Nurse Practitioner
  • Family

About TOMASZ BOLTRUCZYK

This page provides the complete NPI Profile along with additional information for Tomasz Boltruczyk, a provider established in Great Lakes, Illinois with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1093564411 assigned on May 2024. The practitioner's primary taxonomy code is 363LF0000X with license number 209029481 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1093564411 Verify this NPI
Provider Name
TOMASZ BOLTRUCZYK FNP-C
Gender
Male
Entity Type
Individual
Location Address
3420 ILLINOIS ST GREAT LAKES, IL 60088
Location Phone
(847) 688-5568
Mailing Address
5991 RUBY ST ROSEMONT, IL 60018
Mailing Phone
(254) 338-7481
Is Sole Proprietor?
Yes
Enumeration Date
05-17-2024
Last Update Date
03-02-2025
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A nurse practitioner (NP) like Tomasz Boltruczyk is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
209029481
License State
IL

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Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Psychologist (Clinical)
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Psychologist (Clinical)
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Physician Assistant
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General Practice
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GREAT LAKES, IL 60088
Family Medicine
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Military Health Care Provider (Independent Duty Corpsman)
3420 ILLINOIS ST, BHC 1007
GREAT LAKES, IL 60088
Family Medicine
3420 ILLINOIS ST, USS TRANQUILLITY CLINIC 1007
GREAT LAKES, IL 60088
Physician Assistant (Medical)
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Family Medicine
3420 ILLINOIS ST, USS TRANQUILITY MEDICAL CLINIC
GREAT LAKES, IL 60088
Military/U.S. Coast Guard Pharmacy
3420 ILLINOIS ST, AH14 MEDICAL CLINIC
GREAT LAKES, IL 60088
Military/U.S. Coast Guard Pharmacy
3420 ILLINOIS ST, USS TRANQUILITYAH14 MED CLN 1017
GREAT LAKES, IL 60088
Psychologist (Clinical)
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Physical Therapist
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Psychologist (Counseling)
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Dental Hygienist
3420 ILLINOIS ST
NORTH CHICAGO, IL 60088
Family Medicine
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Specialist/Technologist, Other
3420 ILLINOIS ST
GREAT LAKES, IL 60088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093564411, enumerated as an "individual" on May 17, 2024.

The provider is located at 3420 ILLINOIS ST GREAT LAKES, IL 60088 and the phone number is (847) 688-5568.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.