Provider Demographics
NPI:1265494041
Name:TOMEZSKO, JANET E (MD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:E
Last Name:TOMEZSKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4709 GOLF RD STE 300
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1233
Mailing Address - Country:US
Mailing Address - Phone:708-499-9800
Mailing Address - Fax:847-983-4335
Practice Address - Street 1:4709 GOLF RD.
Practice Address - Street 2:SUITE 1275
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076
Practice Address - Country:US
Practice Address - Phone:708-499-9800
Practice Address - Fax:708-499-6203
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036090697207V00000X
IL036-090697207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G61678Medicare UPIN