Provider Demographics
NPI:1447247424
Name:TOMASIK, FRANCIS G (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:G
Last Name:TOMASIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:F.
Other - Middle Name:G
Other - Last Name:TOMASIK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD,
Mailing Address - Street 1:3077 W JEFFERSON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-5262
Mailing Address - Country:US
Mailing Address - Phone:815-725-0350
Mailing Address - Fax:815-725-0967
Practice Address - Street 1:3077 W JEFFERSON ST
Practice Address - Street 2:SUITE 101
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-5262
Practice Address - Country:US
Practice Address - Phone:815-725-0350
Practice Address - Fax:815-725-0967
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036 039366207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036039366Medicaid
C39096Medicare UPIN
C39096Medicare UPIN