Carlo Domingo, AGNP-C | |
4 N Deer Point Dr, Ste 1002, Hainesville, IL 60030-3814 | |
(847) 946-0198 | |
Not Available |
Full Name | Carlo Domingo |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 4 N Deer Point Dr, Hainesville, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194251272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 209.019378 (Illinois) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 209.019378 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Meridian Home Health Care Services, Inc | Hainesville, IL | Home health agency |
American Home Care Express Inc | Lincolnwood, IL | Home health agency |
Alpha Home Health, Inc | Chicago, IL | Home health agency |
Bg Home Health Providers, Llc | Arlington heights, IL | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Zigma Visiting Physician Llc | 0547566994 | 3 |
Entity Name | Zigma Visiting Physician Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093175804 PECOS PAC ID: 0547566994 Enrollment ID: O20160310000631 |
Mailing Address | Practice Location Address |
---|---|
Carlo Domingo, AGNP-C 4 N Deer Point Dr., Ste 1002, Hainesville, IL 60030-3814 Ph: (847) 946-0198 | Carlo Domingo, AGNP-C 4 N Deer Point Dr, Ste 1002, Hainesville, IL 60030-3814 Ph: (847) 946-0198 |
Peggy Suzanne Welch, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 N Deer Point Rd Ste 1008, Hainesville, IL 60030 Phone: 847-543-0045 |