Most Relevant Information
Provider Data
| NPI Number: | 1003053869 |
| Provider Name: | MARY LOU DOVANTZIS M.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | 147-000325 |
Most Important Dates
| Enumeration Date: | 01/15/2009 |
| Last Updated: | 01/15/2009 |
Provider Practice Location
18012 CARDINAL LN
TINLEY PARK
IL
604879524
Practice Location Phone/Fax
| Phone: | 7085329326 |
| Fax: |
Provider Mailing Location
18012 CARDINAL LN
TINLEY PARK
IL
604879524
Provider Mailing Phone/Fax
| Phone: | 7085329326 |
| Fax: |