MRS. NATALIE NICOLE DOMEK (NPI# 1922360577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922360577 |
Entity Type | Individual |
Full Name | MRS. NATALIE NICOLE DOMEK |
Credential | DPM |
Practice Address |
6560 W Higgins Ave Chicago IL 60656-2161 |
Practice Telephone | 7737750300 |
Mailing Telephone | 7737750300 |
Mailing Fax Number | 7737750883 |
Enumeration Date | 2012-06-11 |
Last Update Date | 2015-08-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016.005609 | IL | Podiatric Medicine & Surgery Service Providers |
Street Address |
6560 W HIGGINS AVE |
City | CHICAGO |
State | IL |
Zip Code | 60656-2161 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609940139 | Gary Jay Hoberman | Podiatrist | 6560 W Higgins Ave, Chicago, IL 60656-2161 | 2006-11-17 |
1013552074 | Podiatry of Chicago | Podiatrist | 6560 W Higgins Ave, Chicago, IL 60656-2161 | 2019-11-14 |
1669849378 | Podiatry Plus Ltd | Podiatrist | 6560 W Higgins Ave, Chicago, IL 60656-2161 | 2015-08-28 |
1457474538 | Rudzki Family Dentistry PC | Dentist | 6560 W Higgins Ave, Chicago, IL 60656-2161 | 2007-04-06 |
1952426363 | Bogumila M Dumanska-rudzki | Dentist | 6560 W Higgins Ave, Chicago, IL 60656-2161 | 2007-03-21 |
1598832925 | Gary J Hoberman Dpm & Associates | Podiatrist | 6560 W Higgins Ave, Chicago, IL 60656-2161 | 2006-11-29 |
1366518664 | Podiatry Plus, PC | Podiatrist | 6560 W Higgins Ave, Chicago, IL 60656-2161 | 2006-11-28 |
1063586196 | Heidi Marie Hoffmann | Podiatrist | 6560 W Higgins Ave, Chicago, IL 60656-2161 | 2006-11-20 |
1326112467 | Brian E Aronson | Podiatrist | 6560 W Higgins Ave, Chicago, IL 60656-2161 | 2006-11-20 |
1902970940 | Anusak Seriruk | Podiatrist | 6560 W Higgins Ave, Chicago, IL 60656-2161 | 2006-11-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356885479 | Daniel Phalin | Physician Assistant | 5666 E. State St, Rockford, IL 60656 | 2016-12-08 |
1093083768 | Renalyn Rico | Physical Therapist | Gem Staffing Inc, 5440 N. Cumberland, 101a, Chicago, IL 60656 | 2011-12-08 |
1467734582 | Ralph A Cardone | Pharmacist | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-14 |
1326293226 | Richard J Bret | Dentist | 7100 W. Higgins, Chicago, IL 60656 | 2008-11-20 |
1588813372 | Ozgul Kadriye Holmgren | Behavioral Analyst | 7634 W Balmoral Ave, Chicago, IL 60656 | 2008-09-16 |
1841342375 | Magdi Naguib Gayed | Dentist | 8441 West Lawrence Ave, Chicago, IL 60656 | 2007-01-17 |
1225105281 | Frank Capobianco | Internal Medicine | 7046 W Higgins, Chicago, IL 60656 | 2006-11-28 |
1730136276 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 4734 N Cumberland Ave, Chicago, IL 60656 | 2006-05-30 |
1336195726 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 7342 W Foster Ave, Chicago, IL 60656 | 2006-05-26 |
1508149865 | Walgreens | Point of Service | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-23 |
Find all providers in zip 60656 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
1346752656 | Prairie Foot & Ankle, P.C. | Podiatrist | 7447 West Talcott Ave, Suite 406, Chicago, IL 60163-3275 | 2017-10-26 |
1558886549 | Castle Podiatry, LLC | Podiatrist | 11628 S Western Ave, Chicago, IL 60643-4730 | 2017-08-10 |
1669854089 | Adam Shapiro | Podiatrist | 3710 N Pine Grove Ave, Chicago, IL 60613-4186 | 2015-06-22 |
1891103925 | Nathan Kramer | Podiatrist | 320 S Ashland Ave Ste 2, Chicago, IL 60607-2856 | 2014-08-01 |
1700292711 | Archer Foot Clinic | Podiatrist | 3113 S Archer Ave, Chicago, IL 60608-6223 | 2014-07-10 |
1871909382 | Rashad Sayeed | Podiatrist | 4646 N. Marine Drive, Chicago, IL 60640-0000 | 2014-07-03 |
1275964918 | Aleksandr Komarov Dpm LLC | Podiatrist | 1360 N Lake Shore Dr Apt 708, Chicago, IL 60610-8442 | 2013-12-05 |
1568895043 | Allison Rottman | Podiatrist | 4734 N Beacon St, 2w, Chicago, IL 60640-4847 | 2013-08-19 |
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.