George Stanley Tovarek

Primary specialty

SpecialistTaxonomy code 174400000X

License

036.036753 Issued in IL

Practice address

520 Raintree Dr
Glen Ellyn, IL 60137-6715

Phone

(630) 858-3876

NPI assigned

Apr 12, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• George Stanley Tovarek Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1801153002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 RAINTREE DR",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376715",
            "telephone_number": "630-858-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 RAINTREE DR",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376715",
            "telephone_number": "630-858-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOVAREK",
        "first_name": "GEORGE",
        "middle_name": "STANLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036.036753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "TOVAREK",
            "middle_name": "STANLEY",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Susan Lynn Thorne-Devin, LCSW
• Jeffrey Tomaszewski, MD
• Meredith Tonarelli
• Richard John Torson Jr., O.D.
• Christina Maria Toth, DDS
• Arushi Mehta Towne, LCSW
• Transtech Communication Inc
• Travel Health Partners Il PLLC
• Tri-County Counseling Services, P.C.
• Thomas Trousdale, L.C.S.W.

• Specialist in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.