person
Carlo Domingo, AGNP-C
Gerontology Nurse Practitioner in Hainesville, Illinois
NPI 1194251272

Carlo Domingo is a Gerontology Nurse Practitioner based in Hainesville, IL and is specialized in Gerontology. Carlo Domingo practices in Hainesville, IL and has the professional credentials of AGNP-C. The NPI Number for Carlo Domingo is 1194251272 and holds a License No. 209.019378 (Illinois).

The current practice location address for Carlo Domingo is 4 N Deer Point Dr, Hainesville, IL and can be reached out via phone at 847-946-0198.

Location: 4 N Deer Point Dr, Hainesville, IL, 60030-3814
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Provider Profile Details
NPI Number
1194251272
Provider Name
Carlo Domingo
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Male
Address
4 N Deer Point Dr, Hainesville, IL, 60030-3814
Phone Number
847-946-0198
Fax Number
Provider Enumeration Date
05/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4 N Deer Point Dr
City
State
Zip
60030-3814
Phone Number
847-946-0198
Fax Number
person
Provider Business Mailing Address Details
Address
4 N Deer Point Dr
City
State
Zip
60030-3814
Phone Number
847-946-0198
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209.019378 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
209.019378 (Illinois)
Definition
Definition to come...
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