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Individual

MARK A TOMCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
18221 TORRENCE AVE, SUITE 1B, LANSING, IL 60438-2870
(708) 895-9450
(708) 895-9455
Mailing address
18221 TORRENCE AVE, LANSING, IL 60438-2870
(708) 895-9450
(708) 895-9455

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
209002567
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28118620A
IN

Other

Enumeration date
05/06/2006
Last updated
04/20/2023
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