Individual provider Active NPI

Tomasz Krzysztof Helenowski, MD

  • Neurological Surgery Physician
  • Gurnee, IL
National Provider Identifier
1275612178
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036066061 Issued in IL
Practice address
95 N Greenleaf St
Gurnee, IL 60031-3309
Phone
(847) 249-3090
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036066061 IL Primary
Radiation Oncology Physician 2085R0001X 036066061 IL

Addresses

Primary practice location

95 N Greenleaf St
Gurnee, IL 60031-3309

Mailing address

365 Bateman Rd
Barrington, IL 60010-7616
Phone (847) 249-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220001414 IL Order and Referring Only - NeurosurgeryPractitioner - Neurosurgery 1557260072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036066061ILMDNeurological Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1275612178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BATEMAN RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600107616",
            "telephone_number": "847-249-3090",
            "fax_number": "224-365-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N GREENLEAF ST",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313309",
            "telephone_number": "847-249-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELENOWSKI",
        "first_name": "TOMASZ",
        "middle_name": "KRZYSZTOF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036066061",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036066061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.