Provider Demographics
NPI:1598721250
Name:TUCHEK, JAMES MICHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:TUCHEK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 WARRENVILLE RD
Mailing Address - Street 2:STE 280
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515
Mailing Address - Country:US
Mailing Address - Phone:630-324-7911
Mailing Address - Fax:630-324-7942
Practice Address - Street 1:3800 W 203RD ST STE 203
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1190
Practice Address - Country:US
Practice Address - Phone:708-679-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2001927208G00000X
IL036081136208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
526620OtherCOOK GROUP
344390OtherDUPAGE GROUP
202172OtherURBANA/ROCKFORD/MOLINE
IL36081136Medicaid
ILL53106Medicare ID - Type Unspecified
526620OtherCOOK GROUP
IL36081136Medicaid
202172OtherURBANA/ROCKFORD/MOLINE
G20171Medicare UPIN