Tomasz Piotr Lis
Family Doctor Emergency Physician
2233 W Division St
Chicago
, Illinois 60622-8151
Tomasz Piotr Lis
Family Doctor Emergency Physician
2233 W Division St
Chicago
, Illinois 60622-8151
(507) 275-3194
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About
Features
Specialties
- Emergency Physician
- Family Doctor
Languages spoken
- English
Location
First Address
- Tomasz Piotr Lis
- 501 E. Lincoln St. Po Box 106
- Hendricks, MN
- Zip : 56136
- Fax : (507) 275-3194
- Phone : (507) 275-3121
Second Address
- Tomasz Piotr Lis
- 2233 W Division St
- Chicago, IL
- Zip : 60622-8151
- Phone : (312) 770-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 01083261A | IN |
| Y | 207Q00000X | Family Doctor | 01083261A | IN |
National Provider Identifier
| NPI | 1003122151 |
|---|---|
| Provider Name | Tomasz Piotr Lis |
| First Address | Hendricks, MN 56136 |
| Second Address | Chicago, IL 60622-8151 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/08/2010 |
| Last Update Date | 03/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.