Mary Louise Tomyanovich, M.D.

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Practice address

820 S Damen Ave
M.P. # 127
Chicago, IL 60612-3728

Phone

(312) 569-6175

Fax

(312) 569-8060

NPI assigned

Sep 27, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972694537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N LAKE SHORE DR",
            "address_2": "#4808",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113427",
            "telephone_number": "312-670-8340",
            "fax_number": "312-569-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S DAMEN AVE",
            "address_2": "M.P. # 127",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123728",
            "telephone_number": "312-569-6175",
            "fax_number": "312-569-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMYANOVICH",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Tompkins, LCPC
• Abby Toms, LCSW
• Hannah Marie Toms
• John Amos Toms III
• Kevin Toms, PHARMD
• Ton Shen Health
• Nancy M Toncy, LCPC, ADTR
• Andrew L Tondryk, MD
• Shannon Doyle Tonellato, MD
• Polly Rebecca Toner, OTR/L

• Clinical Neurophysiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Neurophysiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.