Provider Demographics
NPI:1124134580
Name:ZATORSKI, THOMAS F (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:ZATORSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 N SHERIDAN RD
Mailing Address - Street 2:UNIT 4
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091
Mailing Address - Country:US
Mailing Address - Phone:847-853-8100
Mailing Address - Fax:847-853-8116
Practice Address - Street 1:1625 N SHERIDAN RD
Practice Address - Street 2:UNIT 4
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091
Practice Address - Country:US
Practice Address - Phone:847-853-8100
Practice Address - Fax:847-853-8116
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036070371207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL7528965002OtherCIGNA
IL0001606168OtherBLUE CROSS BLUE SHIELD
IL4077325OtherAETNA
IL4077325OtherAETNA
C37800Medicare UPIN