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

NPI Status: Active since May 17, 2024

Contact Information

3420 ILLINOIS ST
GREAT LAKES, IL
ZIP 60088
Phone: (847) 688-5568

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  • 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
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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093564411, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 5 → 10 → 1 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 0 + 6 + 8 + 4 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1093564411.

Other Providers at the Same Location


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

Psychologist (Clinical)
3420 ILLINOIS ST, REU, BUILDING 1007
GREAT LAKES, IL 60088
Family Medicine (Sports Medicine)
3420 ILLINOIS ST, USS TRANQUILLITY - BMC 1007
GREAT LAKES, IL 60088
Psychologist (Clinical)
3420 ILLINOIS ST, RECRUIT MENTAL HEALTH, USS TRANQUILLITY
GREAT LAKES, IL 60088
Physician Assistant
3420 ILLINOIS ST, USS TRANQUILITY MEDICAL CLINIC 1007
GREAT LAKES, IL 60088
General Practice
3420 ILLINOIS ST
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.