| Domenico Pllc | |
| 
					601 Il Route 59, Ingleside, IL 60041-9342  | |
| (847) 815-5972 | |
| Not Available | 
| Full Name | Domenico Pllc | 
|---|---|
| Type | Facility | 
| Speciality | Chiropractor | 
| Location | 601 Il Route 59, Ingleside, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649944422 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 111NN0400X | Chiropractor - Neurology | (* (Not Available)) | Secondary | 
| 111N00000X | Chiropractor | (* (Not Available)) | Primary | 
| Provider Name | Dana Muligano | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1215528500 PECOS PAC ID: 3274930573 Enrollment ID: I20210929003397  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Domenico Pllc 601 Il Route 59, Ingleside, IL 60041-9342 Ph: () -  | Domenico Pllc 601 Il Route 59, Ingleside, IL 60041-9342 Ph: (847) 815-5972  | 
Dr. Dana Muligano, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 601 Il Route 59, Ingleside, IL 60041 Phone: 847-587-8011  | |
Dr. Forrest Frank Kogut, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 601 S Route 59, Ingleside, IL 60041 Phone: 847-587-8011 Fax: 847-587-5469  |