F G Tomasik MD, Facog & Associates, SC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

042618483 Issued in IL

Legal business name

F G TOMASIK MD, FACOG & ASSOCIATES, SC

Practice address

3077 W Jefferson St
Suite 101
Joliet, IL 60435-5262

Phone

(815) 725-0350

Fax

(815) 725-0967

NPI assigned

Apr 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Coleen Mary Lombardi, CPC, RMM, CPC

Title

Administrator

Phone

(815) 725-0350

Specialties & licenses 1

Addresses

Other names 1

• Shorewood Women's Health Center Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1265659825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 W JEFFERSON ST",
            "address_2": "SUITE 101",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355262",
            "telephone_number": "815-725-0350",
            "fax_number": "815-725-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 W JEFFERSON ST",
            "address_2": "SUITE 101",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355262",
            "telephone_number": "815-725-0350",
            "fax_number": "815-725-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F G TOMASIK MD, FACOG & ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "LOMBARDI",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-725-0350",
        "authorized_official_credential": "CPC, RMM, CPC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "042618483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shorewood Women's Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Medical Specialty Clinic/Center in Joliet, IL
• Providers in Joliet, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.