Organization
ROBERT J. TOMCHUCK DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J. TOMCHUCK D.O. (D.O.)
(708) 679-2252
Entity
Organization
Contact information
Practice address
1 INGALLS DR, HARVEY, IL 60426-3558
(708) 679-2252
(708) 679-2267
Mailing address
4647 LINCOLN HWY, MATTESON, IL 60443-2319
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036044959
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623276
BCBS GROUP #
IL
05
—
036044959
—
IL
Enumeration date
03/06/2008
Last updated
11/25/2009
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