MRS. MICHELLE ANN DOMANCHUK (NPI# 1184665010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184665010 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE ANN DOMANCHUK |
| Credential | APN |
| Practice Address |
110 E Schiller St Suite 318 Elmhurst IL 60126-2858 |
| Mailing Address |
1107 Arlington Ave La Grange IL 60525-5811 |
| Practice Telephone | 6308321775 |
| Mailing Telephone | 7083540332 |
| Mailing Fax Number | 7087632162 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209-001363 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | 800012875 | 01 |
| Street Address |
110 E SCHILLER ST SUITE 318 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215974530 | Riny Thomas Mathew | Nurse Practitioner | 110 E Schiller St, Suite 318, Elmhurst, IL 60126-2858 | 2006-06-02 |
| 1356815591 | Jeffrey Bryk | Adult Companion | 110 E Schiller St, Suite 230, Elmhurst, IL 60126 | 2019-01-21 |
| 1619333580 | Midwest Center for Health & Wellness | Chiropractor | 110 E Schiller St, 309, Elmhurst, IL 60126-2858 | 2016-01-07 |
| 1942666904 | Sandra A Lambatos | Chiropractor | 110 E Schiller St, 309, Elmhurst, IL 60126-2858 | 2016-01-06 |
| 1932573979 | Clearpaths Counseling Services | Counselor | 110 E Schiller St, 315, Elmhurst, IL 60126-2858 | 2015-11-13 |
| 1922481589 | Elm Centre Counseling and Wellness LLC | Counselor | 110 E Schiller St, Suite 232, Elmhurst, IL 60126-2858 | 2015-07-01 |
| 1871743146 | Kate Catanzano | Nurse Practitioner | 110 E Schiller St, Suite 318, Elmhurst, IL 60126-2858 | 2008-09-23 |
| 1346496411 | Lauren Donagher Watson | Nurse Practitioner | 110 E Schiller St, Suite 318, Elmhurst, IL 60126 | 2008-08-08 |
| 1962684118 | Patricia Robbins | Counselor | 110 E Schiller St, Suite 206a, Elmhurst, IL 60126-2858 | 2007-11-29 |
| 1275721300 | Daniel Joseph Goodman | Psychologist | 110 E Schiller St, Suite 212, Elmhurst, IL 60126-2858 | 2007-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639705908 | Simrat Singh | Nurse Practitioner | 547 N Howard Ave, Elmhurst, IL 60126-2024 | 2020-03-19 |
| 1740779206 | Elisa Jean Mary | Nurse Practitioner | 87-08 Justice Ave Suite Cs, Elmhurst, NY 11373 | 2018-05-09 |
| 1205360385 | Emily Clapsaddle | Nurse Practitioner | 420 E. Butterfield Rd, Elmhurst, IL 60126-2816 | 2017-04-17 |
| 1003299165 | Juliet Ibanez Panambo | Nurse Practitioner | Po Box 745, Elmhurst, IL 60126-0745 | 2015-07-07 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| 1447567268 | Renata Krystyna Ciszek | Nurse Practitioner | 429 N York Road, Elmhurst, IL 60126 | 2010-09-01 |
| 1639251317 | Emelita D Sequeira | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2006-10-20 |
| 1124073713 | Lisa Stucky-marshall | Nurse Practitioner | 177 E Brush Hill Rd, Elmhurst, IL 60126 | 2006-05-23 |
| 1457987158 | Deon Lee | Nurse Practitioner | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-03-13 |
| 1659928398 | Janieta Brown | Nurse Practitioner | 429 N York St, Elmhurst, IL 60126-2003 | 2019-08-19 |
| Find all providers in ELMHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.