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

Tomasz Boltruczyk, FNP-C

Individual provider Family Nurse Practitioner · NPI 1093564411

Tomasz Boltruczyk, FNP-C is a Family Nurse Practitioner in Great Lakes, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3420 Illinois St
Great Lakes, IL 60088-3161
Phone: (847) 688-5568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209029481 (IL)

Record details

NPI number1093564411
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedMay 17, 2024
Last updated in NPPESMarch 2, 2025
Certification dateMarch 2, 2025