Individual
THOMAS F. GUTCHEWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN, CNP
Contact information
Practice address
12251 S 80TH AVE STE 1520, PALOS HEIGHTS, IL 60463-1290
(708) 923-4200
(708) 923-4201
Mailing address
12251 S 80TH AVE STE 1520, PALOS HEIGHTS, IL 60463-1290
(708) 923-4200
(708) 923-4201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209002478
IL
363LA2100X
Acute Care Nurse Practitioner
209.002478
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400287719
MEDICARE PTAN
IL
Enumeration date
08/09/2005
Last updated
12/15/2022
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