Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 036090697 | IL |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 036-090697 | IL |
NPI | 1265494041 |
---|---|
Provider Name | Janet E Tomezsko |
First Address | Skokie, IL 60076-1233 |
Second Address | Skokie, IL 60076 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 07/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G61678 | (02) |