Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tomas Mauricio Prudencio

Individual provider Surgery Physician · NPI 1730980947

Tomas Mauricio Prudencio is a Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

251 E Huron St
Chicago, IL 60611-2908
Phone: (312) 926-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125.085227 (IL)

Record details

NPI number1730980947
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address251 E Huron St, Chicago, IL 60611-2908

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