Individual provider Active NPI

Marie Laura Tomalis, M.S. CCC-SLP/L

  • Speech-Language Pathologist
  • Justice, IL
National Provider Identifier
1073829248
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.010607 Issued in IL
Practice address
7540 S 86TH Ave
Justice, IL 60458-1168
Phone
(708) 496-8700
NPI assigned
Aug 26, 2010
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
146.010607ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Garmon Therapy LLC Speech-Language Pathologist Past Accepting new patients
Indian Springs SCH Dist 109 PastSince Feb 19, 2023 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.

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.

Verify at the official NPI Registry.