| Dominique Sanchez, DO | |
|
331 S Main St, Virginia, IL 62691-1519 | |
| (217) 452-3057 | |
| (217) 452-7245 |
| Full Name | Dominique Sanchez |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 331 S Main St, Virginia, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861654857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036128630 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prohealth Home Care | Waukesha, WI | Home health agency |
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Oconomowoc Memorial Hospital | Oconomowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Medical Group Inc | 3476465188 | 443 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Sanchez, DO 331 S Main St, Virginia, IL 62691-1519 Ph: (217) 452-3057 | Dominique Sanchez, DO 331 S Main St, Virginia, IL 62691-1519 Ph: (217) 452-3057 |
Dr. Abdul Wahid Royeen, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 S Main St, Virginia, IL 62691 Phone: 217-452-3057 Fax: 217-452-7245 | |
Dr. Dirck A Curry, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 331 S Main St, Virginia, IL 62691 Phone: 217-452-3057 Fax: 217-452-7245 |