Individual
THOMAS RICHARD ORYSZCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 227-8987
(847) 618-3259
Mailing address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 227-8987
(847) 618-3259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125054828
IL
208M00000X
Hospitalist Physician
Primary
036127001
IL
208M00000X
Hospitalist Physician
03612701
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036127001
MEDICAID
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400136372
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
07/11/2008
Last updated
07/08/2021
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