Provider Demographics
NPI:1275612178
Name:HELENOWSKI, TOMASZ KRZYSZTOF (MD)
Entity Type:Individual
Prefix:DR
First Name:TOMASZ
Middle Name:KRZYSZTOF
Last Name:HELENOWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 BATEMAN RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-7616
Mailing Address - Country:US
Mailing Address - Phone:847-249-3090
Mailing Address - Fax:224-365-4100
Practice Address - Street 1:95 N GREENLEAF ST
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3309
Practice Address - Country:US
Practice Address - Phone:847-249-3090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036066061207T00000X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
205545Medicare ID - Type Unspecified
C48895Medicare UPIN