institution
Vincent Domingo Dc Cscs Professional Corporation
Chiropractor in Chicago, Illinois
NPI 1790014108

Vincent Domingo Dc Cscs Professional Corporation is a Chiropractor based in Chicago, IL. Vincent Domingo Dc Cscs Professional Corporation practices in Chicago, IL. The NPI Number for Vincent Domingo Dc Cscs Professional Corporation is 1790014108 and holds a License No. 038-010182 (Illinois).

The current practice location address for Vincent Domingo Dc Cscs Professional Corporation is 1255 W Diversey Pkwy, Chicago, IL and can be reached out via phone at 773-472-0700.

Location: 1255 W Diversey Pkwy, Chicago, IL, 60614-1111
institution
Provider Profile Details
NPI Number
1790014108
Provider Name
Vincent Domingo Dc Cscs Professional Corporation
Credential
Provider Entity Type
Organization
Address
1255 W Diversey Pkwy, Chicago, IL, 60614-1111
Phone Number
773-472-0700
Fax Number
Provider Enumeration Date
12/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11487753 01 IL CAQH
7296704 01 IL AETNA
9386175 01 IL PHCS
668809 01 IL UNITED HEALTHCARE
P00299763 01 IL RAILROAD MEDICARE PIN
7199662 01 IL CIGNA
01635354 01 IL BLUE CROSS BLUE SHIELD
DE5467 01 IL RAILROAD MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
1255 W Diversey Pkwy
City
State
Zip
60614-1201
Phone Number
773-472-0700
Fax Number
person
Provider Business Mailing Address Details
Address
1255 W Diversey Pkwy
City
State
Zip
60614-1201
Phone Number
773-472-0700
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
038-010182 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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