Active NPI
Marie Laura Tomalis, M.S. CCC-SLP/L
- Speech-Language Pathologist
- Justice, IL
National Provider Identifier
1073829248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.010607
- Practice address
- 7540 S 86TH Ave
Justice, IL 60458-1168 - Phone
- (708) 496-8700
- NPI assigned
- Aug 26, 2010
- Last updated
- Feb 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.010607 | IL | Primary |
Addresses
Primary practice location
7540 S 86TH Ave
Justice, IL 60458-1168
Mailing address
50 W 56TH PL
Westmont, IL 60559-2305
Phone (773) 255-1626
Other practice location 1
6300 Kingery Hwy Ste 102
Willowbrook, IL 60527-2250
Phone (630) 446-2601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.010607 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garmon Therapy LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Indian Springs SCH Dist 109 | Past | Accepting new patients | |
| Westside Childrens Therapy | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Tremont, IL
- NPI 1003048075
-
- Student Health Clinic/Center
- Justice, IL
- NPI 1497889687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1073829248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 W 56TH PL",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605592305",
"telephone_number": "773-255-1626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7540 S 86TH AVE",
"city": "JUSTICE",
"state": "IL",
"postal_code": "604581168",
"telephone_number": "708-496-8700"
}
],
"practiceLocations": [
{
"address_1": "6300 Kingery Hwy Ste 102",
"address_purpose": "LOCATION",
"city": "Willowbrook",
"state": "IL",
"postal_code": "605272250",
"country_code": "US",
"telephone_number": "630-446-2601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOMALIS",
"first_name": "MARIE",
"middle_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.010607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Justice, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.