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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
820 S DAMEN AVE M.P. # 127 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3728 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| 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] |
| 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 |
| 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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| 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.