Michael J Didomenico (NPI# 1861442345, PAC ID# 3375710122) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1861442345 |
| PAC ID by PECOS | 3375710122 |
| Professional Enrollment ID | I20120118000695 |
| Full Name | Michael J Didomenico |
| Address |
1535 Lake Cook Rd Suite 306 Northbrook IL 60062-1452 |
| Phone Number | 6306320746 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140080 | PRESENCE SAINT FRANCIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1535 Lake Cook Rd, Suite 306, Northbrook, IL 60062-1452 | 6306320746 |
| Street Address |
1535 LAKE COOK RD SUITE 306 |
| City | NORTHBROOK |
| State | IL |
| Zip | 60062-1452 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth M Cook | Physician Assistant | North Shore Center for Medical Aesthetics Ltd | 1535 Lake Cook Rd, Suite 401, Northbrook, IL 60062-1453 |
| Inbar Kirson | Gynecological Oncology | Comprehensive Wound Care, LLC. | 1535 Lake Cook Rd, Suite 406, Northbrook, IL 60062-1453 |
| Olga Ulitsky | Dermatology | North Shore Center for Medical Aesthetics Ltd | 1535 Lake Cook Rd, Suite 401, Northbrook, IL 60062-1453 |
| Mia Norlin | Obstetrics/gynecology | Association for Womens Healthcare, Ltd | 1535 Lake Cook Rd, Suite 502, Northbrook, IL 60062-1454 |
| Efrat Rebish | Physical Therapy | 1535 Lake Cook Rd, Suite 500, Northbrook, IL 60062-1454 | |
| David A Baum | Obstetrics/gynecology | Association for Womens Healthcare, Ltd | 1535 Lake Cook Rd, Suite 502, Northbrook, IL 60062-1454 |
| Neil Allen | Neurology | Consultants In Neurology Ltd | 1535 Lake Cook Rd, Suite 601, Northbrook, IL 60062-1455 |
| Lisa F Rosenberg | Ophthalmology | University Eye Specialists Ltd | 1535 Lake Cook Rd, Northbrook, IL 60062-1447 |
| Gwyneth A Bryant | Obstetrics/gynecology | Association for Womens Healthcare, Ltd | 1535 Lake Cook Rd, Suite 502, Northbrook, IL 60062-1454 |
| Ricardo G Senno | Physical Medicine and Rehabilitation | 1535 Lake Cook Rd, Suite 208, Northbrook, IL 60062-1451 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert S Glick | Podiatry | 4545 Lindenwood Ln, Northbrook, IL 60062-1033 | |
| Neil M Taufen | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1182 Northbrook Ct, Northbrook, IL 60062-1435 |
| Rebecca Malik | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1182 Northbrook Ct, Northbrook, IL 60062-1435 |
| Stephen C Tassler | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1182 Northbrook Ct, Northbrook, IL 60062-1435 |
| Steve J Eisenstein | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1182 Northbrook Ct, Northbrook, IL 60062-1435 |
| Teny P Thomas | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1182 Northbrook Ct, Northbrook, IL 60062-1435 |
| Mary B Fausone | Obstetrics/gynecology | 1535 Lake Cook Rd, Northbrook, IL 60062-1447 | |
| Dianna Liu | Ophthalmology | University Eye Specialists Ltd | 1535 Lake Cook Rd, Northbrook, IL 60062-1447 |
| Stephen P Becker | Otolaryngology | Otolaryngology Associates Sc | 1535 Lake Cook Rd, Northbrook, IL 60062-1447 |
| Jon M Ruderman | Ophthalmology | University Eye Specialists Ltd | 1535 Lake Cook Rd, Northbrook, IL 60062-1447 |
| Find all physicians in zip 60062 | |||
| City | NORTHBROOK |
| Zip Code | 60062 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | NORTHBROOK + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Michael J Didomenico.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.