Provider Demographics
NPI:1851529473
Name:CYBULSKI, THOMAS A (RT,RDMS)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:A
Last Name:CYBULSKI
Suffix:
Gender:M
Credentials:RT,RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 SWITCHGRASS LANE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564
Mailing Address - Country:US
Mailing Address - Phone:630-640-2550
Mailing Address - Fax:603-904-4843
Practice Address - Street 1:5012 SWITCHGRASS LANE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564
Practice Address - Country:US
Practice Address - Phone:630-640-2550
Practice Address - Fax:603-904-4843
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL57562085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound