THOMAS KENNETH GRUDOWSKI

OAK LAWN, IL
NPI1508326745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036-157973)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IN  02006597A)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-22
Last Update Date2022-12-22
Business Address
THOMAS KENNETH GRUDOWSKI
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-8000
Mailing Address
THOMAS KENNETH GRUDOWSKI
29373 NETWORK PL
CHICAGO, IL 60673-2827
Phone number: 847-390-5900