Mary Lou Dovantzis, M.S.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147-000325 Issued in IL

Practice address

18012 Cardinal LN
Tinley Park, IL 60487-9524

Phone

(708) 532-9326

NPI assigned

Jan 15, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of North Carolina at Chapel Hill School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest ENT Alliance PLLCGroup PAC ID 5294276259, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBGHBA/Endpoint/EBGHBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest ENT Alliance PLLC

  • Otolaryngology Physician
  • Orland Park, IL
  • NPI 1588449458
  Medicare reassignment Care Compare group NPD
• Century Ear Nose and Throat - Head and Neck Surgery Associates LTD

  • Otolaryngology Physician
  • Orland Park, IL
  • NPI 1629174834
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1003053869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18012 CARDINAL LN",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604879524",
            "telephone_number": "708-532-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18012 CARDINAL LN",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604879524",
            "telephone_number": "708-532-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVANTZIS",
        "first_name": "MARY LOU",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shani M Douglas, PT, DPT
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• Jennifer Marie Doyle
• Dr. Robert Thies, D.D.S., P.C.
• Dr. Scott Lowry DO

• Audiologist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.