| Virginia Dominguez-matsumoto, DDS | |
|
3250 N Arlington Heights Rd Ste 300, Arlington Heights, IL 60004-1563 | |
| (847) 506-4030 | |
| Not Available |
| Full Name | Virginia Dominguez-matsumoto |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 3250 N Arlington Heights Rd Ste 300, Arlington Heights, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740310838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 019-021775 (Illinois) | Secondary |
| 122300000X | Dentist | 019-021775 (Illinois) | Primary |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Dominguez-matsumoto, DDS 3468 Wilshire Dr, Hoffman Estates, IL 60067-4775 Ph: (847) 212-0931 | Virginia Dominguez-matsumoto, DDS 3250 N Arlington Heights Rd Ste 300, Arlington Heights, IL 60004-1563 Ph: (847) 506-4030 |
Dr. Elizabeth Vinokur, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3421 N Arlington Heights Rd, Arlington Heights, IL 60004 Phone: 847-870-8411 Fax: 847-870-8412 | |
Dr. Herbert M Kanter, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3325 N Arlington Heights Rd, Suite 600a, Arlington Heights, IL 60004 Phone: 847-259-8883 Fax: 847-259-8891 | |
Dr. Susan Katherine Blair, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 N Arlington Heights Rd, Arlington Heights, IL 60004 Phone: 847-670-9020 | |
Dr. Kenneth B. Kaplin, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 311 S Arlington Heights Rd Ste 104, Arlington Heights, IL 60005 Phone: 847-253-2300 Fax: 847-253-5048 | |
Dr. Alexander Jarava, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1768 W Algonquin Rd, Arlington Heights, IL 60005 Phone: 331-234-3000 | |
Dr. Robert G Brunetti, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 605 E Algonquin Rd, Ste 300, Arlington Heights, IL 60005 Phone: 847-640-1112 Fax: 847-510-0548 | |
Dr. Jeffrey Anthony Seredynski, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 121 S Wilke Rd Ste 120, Arlington Heights, IL 60005 Phone: 847-392-2141 |