Thomas John Wardzala, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

147-000786 Issued in IL

Practice address

10409 S Roberts Rd
Palos Hills, IL 60465-1931

Phone

(708) 599-9500

Fax

(708) 599-2791

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Accelerated Rehabilitation Centers, LTD

  • Physical Therapist
  • Roscoe, IL
  • NPI 1043604184
  NPD (past)
• Advanced Hearing and Balance Center, LLC

  • Audiologist
  • Evanston, IL
  • NPI 1669607214
  NPD (past)
• Hearing Health Center, Inc.

  • Audiologist
  • Chicago, IL
  • NPI 1972583359
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1285642389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10409 S ROBERTS RD",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651931",
            "telephone_number": "708-599-9500",
            "fax_number": "708-599-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10409 S ROBERTS RD",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651931",
            "telephone_number": "708-599-9500",
            "fax_number": "708-599-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDZALA",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147-000786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitality Physical Therapy PLLC
• Andrzej Waclaw, OTR/L
• Walgreen Co
• Walgreen Co.
• Shannan Renee Walker, L.AC.
• Asia Washington
• Steven David Wasowicz, DDS
• Noof Watson
• Maris Weston, LSW
• Thomas Gregory White

• Audiologist-Hearing Aid Fitter in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Audiologist-Hearing Aid Fitter in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.