DR. ROBERT J DIDOMENICO (NPI# 1538251517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538251517 |
| Entity Type | Individual |
| Full Name | DR. ROBERT J DIDOMENICO |
| Credential | D.C. |
| Practice Address |
711 W North Ave Suite 201 Chicago IL 60610-1174 |
| Practice Telephone | 3126649060 |
| Practice Fax Number | 3126649181 |
| Mailing Telephone | 3126649060 |
| Mailing Fax Number | 3126649181 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 01606734 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215069737 | Robert J Didomenico | Chiropractor | 1372 W State St, Alliance, OH 44601-3613 | 2007-03-10 |
| 1235210261 | Robert J Didomenico Jr. | Pharmacist | 833 S Wood St, M/c 886, Chicago, IL 60612-7229 | 2006-10-17 |
| Street Address |
711 W NORTH AVE SUITE 201 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-1174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548210339 | Qeena C Woodard | Podiatrist | 711 W North Ave, Suite 210, Chicago, IL 60610-1174 | 2006-05-11 |
| 1730611898 | Daniella Davida Brutman | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2017-03-29 |
| 1073963344 | Ann Tran | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2016-06-17 |
| 1881049583 | Kristen Gallagher | Obstetrics & Gynecology | 711 W North Ave, Chicago, IL 60610-1174 | 2016-05-01 |
| 1215301312 | Chicago Bright Smiles | Clinic/Center | 711 W North Ave, Suite 216, Chicago, IL 60610-1174 | 2015-11-30 |
| 1487028825 | Presence Chicago Hospitals Network | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2015-11-23 |
| 1043694045 | Julieta Lasala | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2015-07-20 |
| 1376982777 | Jessica Louise Rubino | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2013-06-19 |
| 1154765790 | George Herman Roepke IIi | Family Medicine | 711 W North Ave, Suite 209, Chicago, IL 60610-1174 | 2013-04-25 |
| 1265797021 | Gary Ray Fernandez | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2012-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1104448547 | Katie Niebur | Chiropractor | 6909 W Medill Ave, Chicago, IL 60707-2910 | 2020-05-07 |
| 1063031003 | Bazan's Health Center Inc | Chiropractor | 4012 W 63rd St, Chicago, IL 60629-4606 | 2020-04-09 |
| 1346875861 | Christopher A Haslett Dc P.c | Chiropractor | 400 N Wells St Ste 300, Chicago, IL 60654-2761 | 2020-03-04 |
| 1245870138 | Be Well Chiropractic Clinics LLC | Chiropractor | 3648 W Montrose Ave Apt 2e, Chicago, IL 60618-1979 | 2020-01-08 |
| 1982242186 | Michael Tal Risher | Chiropractor | 2378 N Elston Ct, Chicago, IL 60614-2929 | 2019-12-18 |
| 1821632423 | Rachel Nicole Leibovitz | Chiropractor | 624 W Belmont Ave, Chicago, IL 60657-4511 | 2019-11-06 |
| 1053954180 | Aaron Alexander Bryant | Chiropractor | 125 N Halsted St Ste 202, Chicago, IL 60661-2160 | 2019-10-22 |
| 1073156238 | Omar A. Bleibel | Chiropractor | 4801 W Peterson Ave Ste 505, Chicago, IL 60646-5795 | 2019-10-21 |
| Find all providers in CHICAGO | ||||
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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.