Individual
DR. MARY LOUISE TOMYANOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 S DAMEN AVE, M.P. # 127, CHICAGO, IL 60612-3728
(312) 569-6175
(312) 569-8060
Mailing address
505 N LAKE SHORE DR, #4808, CHICAGO, IL 60611-3427
(312) 670-8340
(312) 569-8060
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
IL
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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