DR. MARY LOUISE TOMYANOVICH


Address: 820 S Damen Ave, M.p. # 127, Chicago, IL 60612-3728
Phone: 3125696175

DR. MARY LOUISE TOMYANOVICH (NPI# 1972694537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972694537
Entity Type Individual
Full Name DR. MARY LOUISE TOMYANOVICH
Credential M.D.
Practice Address 820 S Damen Ave
M.p. # 127
Chicago
IL 60612-3728
Mailing Address 505 N Lake Shore Dr
#4808
Chicago
IL 60611-3427
Practice Telephone 3125696175
Practice Fax Number 3125698060
Mailing Telephone 3126708340
Mailing Fax Number 3125698060
Enumeration Date 2006-09-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
IL Allopathic & Osteopathic Physicians

Office Location

Street Address 820 S DAMEN AVE
M.P. # 127
City CHICAGO
State IL
Zip Code 60612-3728

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679561260 Jesse Brown Veterans Administration Hospital General Acute Care Hospital 820 S Damen Ave, Chicago, IL 60612-3728 2005-10-09
1528678463 Jennifer Lee Pharmacist 820 S Damen Ave, Chicago, IL 60612-3728 2020-08-05
1770101115 Natalia Irena Szynalik Pharmacist 820 S Damen Ave, Chicago, IL 60612-3728 2020-07-13
1568088706 Benjamin Galloway Podiatrist 820 S Damen Ave, Chicago, IL 60612-3728 2020-06-23
1588280937 Laine Ferrill Pharmacist 820 S Damen Ave, Chicago, IL 60612-3728 2020-06-22
1598380560 Regan Kelley Speech-Language Pathologist 820 S Damen Ave, Chicago, IL 60612-3728 2020-06-15
1609490531 Jacob Conditt Student in an Organized Health Care Education/Training Program 820 S Damen Ave, Chicago, IL 60612-3728 2020-06-06
1023632551 Stephen Macrowski Dentist 820 S Damen Ave, Chicago, IL 60612-3728 2020-06-01
1588286256 Nisha Utpal Patel Dentist 820 S Damen Ave, Chicago, IL 60612-3728 2020-05-15
1568084804 Tuhin Mukherjee Podiatrist 820 S Damen Ave, Chicago, IL 60612-3728 2020-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497174353 Atif Sheikh Psychiatry & Neurology 600 N Mcclurg Ct Apt 3205a, Chicago, IL 60611-6610 2014-04-08
1235557927 Akash D Patel Psychiatry & Neurology 1801 W Taylor St Ste 4e, Chicago, IL 60612-4795 2014-03-31
1093337412 Sumayyah Abumurad Psychiatry & Neurology 5841 S Maryland Ave Rm J-141, Mc2030, S231, Chicago, IL 60637-1443 2020-05-07
1023558376 Adam Jackson Psychiatry & Neurology 55 W Chestnut St, Chicago, IL 60610-3347 2017-03-06
1831540111 Christopher Veys Psychiatry & Neurology 1725 W Harrison St Ste 885, Chicago, IL 60612-3841 2016-06-28
1588027924 Geeta Verma Psychiatry & Neurology 600 S Paulina St Ste 403, Chicago, IL 60612-3806 2016-04-02
1326459553 Ahmad Daif Psychiatry & Neurology 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1447 2014-05-09
1124394127 Diana Mnatsakanova Psychiatry & Neurology 1801 W Taylor St, Chicago, IL 60612-4795 2012-03-24
1619183852 Adriana Carmenza Bermeo Ovalle Psychiatry & Neurology 1725 W Harrison St, Suite 1106, Chicago, IL 60612-3841 2007-05-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821649138 Daif Consulting LLC Psychiatry & Neurology 7921 W 103rd St Apt 1b, Palos Hills, IL 60465-1585 2019-09-27
1720098858 Syed Naveed Psychiatry & Neurology 17 W 434 Rosevelt Rd, Oakbrook Terrece, IL 60181 2006-08-09
1760427850 Rana F Mafee Psychiatry & Neurology 2450 Wolf Rd, Suite D, Westchester, IL 60154-5643 2006-06-20
1982723482 Neurological Consultants Group Ltd Psychiatry & Neurology 17w434 Roosevelt Rd, Oakbrook Terrace, IL 60181-3510 2007-03-28
1316901234 Joseph H Mayer Psychiatry & Neurology 2320 High St, Blue Island, IL 60406-2426 2006-04-17

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City CHICAGO
Zip Code 60612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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