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Contact Information

TOMASZ T ANTKOWIAK, MD
400 S KENNEDY DR
SUITE 100
BRADLEY, IL60915
 Phone: 815-928-8050
 Fax: 800-505-2218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TOMASZ T ANTKOWIAK · (Male)

NPI Number 1881851210
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2008
Last updated 04/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036133059
Hospital affiliation(s)
  • PROVENA ST MARYS HOSPITAL - (Acute Care)
    500 W COURT ST
    KANKAKEE, IL 60901
  • SILVER CROSS HOSPITAL AND MEDICAL CENTERS - (Acute Care)
    1900 SILVER CROSS BLVD
    NEW LENOX, IL 60451
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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