Provider Demographics
NPI:1255370284
Name:SZMYD, TOMASZ (DPM)
Entity type:Individual
Prefix:DR
First Name:TOMASZ
Middle Name:
Last Name:SZMYD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10154 HARTFORD CT
Mailing Address - Street 2:3A
Mailing Address - City:SCHILLER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60176-2060
Mailing Address - Country:US
Mailing Address - Phone:847-928-1006
Mailing Address - Fax:
Practice Address - Street 1:5501 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4130
Practice Address - Country:US
Practice Address - Phone:773-934-5503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016-005179213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist