Mr Tomasz Dziura, is a
Student In An Organized Health Care Education/training Program based in Chicago, Illinois. Mr Tomasz Dziura is licensed to practice in Illinois (license number 041467596) and his current practice location is
1620 W Harrison St, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(312) 942-5000.
NPI number for Mr Tomasz Dziura is 1578309514 and his current mailing address is 459 Mors Ave, Wheeling, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578309514.
Provider's Profile
Full Name | Mr Tomasz Dziura |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1620 W Harrison St, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578309514
- Provider Enumeration Date: 07/08/2024
- Last Update Date: 07/08/2024
Medical Identifiers
Medical identifiers for Mr Tomasz Dziura such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578309514 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041467596 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 041467596 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Tomasz Dziura is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Tomasz Dziura, 459 Mors Ave, Wheeling, IL 60090-5024 Ph: (224) 425-7450 | Mr Tomasz Dziura, 1620 W Harrison St, Chicago, IL 60612-3801 Ph: (312) 942-5000 |
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