Individual
MRS. MARY LOU DOVANTZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
18012 CARDINAL LN, TINLEY PARK, IL 60487-9524
(708) 532-9326
Mailing address
18012 CARDINAL LN, TINLEY PARK, IL 60487-9524
(708) 532-9326
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-000325
IL
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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