Elizabeth Ryann Maloney

Primary specialty

DentistTaxonomy code 122300000X

License

019.032710 Issued in IL

Practice address

18650 Dixie Hwy
Homewood, IL 60430-3700

Phone

(630) 750-1499

NPI assigned

Jul 15, 2020

Last updated

Nov 12, 2021By the provider in NPPES

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

Other names 1

• Elizabeth Ryann Gilley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ann E. Mazzotti, D.D.S.,P.C.

  • General Practice Dentistry
  • Homewood, IL
  • NPI 1073750402

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1386252328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18650 DIXIE HWY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303700",
            "telephone_number": "708-798-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18650 DIXIE HWY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303700",
            "telephone_number": "630-750-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "ELIZABETH",
        "middle_name": "RYANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GILLEY",
            "middle_name": "RYANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charis Madison
• Benita Franchon Madry
• Danielle Magas, PHARMD
• Debra Majewski, LCPC
• Nour Malak, D.N.
• Maxine Ann Mancino, LCPC
• Manor Care of Homewood Il, LLC (ProMedica Skilled Nursing and Rehabilitation (Homewood))
• Joe Roberson Mardis, LCPC
• Marek Walczyk MD,SC
• Rashel Marrero, LSW

• Dentist in Homewood, IL
• Providers in Homewood, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.