Sandra E Domico (NPI# 1306399944, PAC ID# 7012202971) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1306399944 |
| PAC ID by PECOS | 7012202971 |
| Professional Enrollment ID | I20160817001638 |
| Full Name | Sandra E Domico |
| Organization Legal Name | PRESENCE BEHAVIORAL HEALTH |
| Address |
355 Ridge Ave Evanston IL 60202-3328 |
| Phone Number | 8473166250 |
| Gender | F |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7517864143 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 355 Ridge Ave, Evanston, IL 60202-3328 | 8473166250 | PRESENCE BEHAVIORAL HEALTH |
| Organization Legal Name | PRESENCE BEHAVIORAL HEALTH |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kinga A Cachro | Clinical Social Worker | Presence Behavioral Health | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 |
| Sibil R Kuruvilla | Clinical Social Worker | Presence Behavioral Health | 9845 W Roosevelt Rd, Procare Centers, Westchester, IL 60154-2758 |
| Nicole A Penz | Clinical Social Worker | Presence Behavioral Health | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Cindy S Castro | Clinical Social Worker | Presence Behavioral Health | 9845 W Roosevelt Rd, Procare Centers, Westchester, IL 60154-2758 |
| Christel E Lembke | Psychiatry | Presence Behavioral Health | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Lorraine C Gade | Clinical Social Worker | Presence Behavioral Health | 9845 W Roosevelt Rd, Procare Centers, Westchester, IL 60154-2758 |
| Vasilis Siomopoulos | Psychiatry | Presence Behavioral Health | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Gloria Ibarra | Clinical Social Worker | Presence Behavioral Health | 9845 W Roosevelt Rd, Procare Centers, Westchester, IL 60154-2758 |
| William H Egan | Psychiatry | Presence Behavioral Health | 1414 Main St, Melrose Park, IL 60160-3902 |
| Song K Piyaka | Psychiatry | Presence Behavioral Health | 1414 Main St, Melrose Park, IL 60160-3902 |
| Street Address |
355 RIDGE AVE |
| City | EVANSTON |
| State | IL |
| Zip | 60202-3328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Muhammed Saudye | Cardiovascular Disease (cardiology) | Shifa Cardiology Consultants Md Sc | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Malati Vadapalli Sekaran | Emergency Medicine | Cepamerica Illinois LLP | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Janis M Atkinson | Pathology | North Shore Pathology Consultants Sc | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Jonathan E Vogel | Neurology | Presence Healthcare Services | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Dorota M Filipiuk | Pathology | North Shore Pathology Consultants Sc | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Patricia L Colledge | Nurse Practitioner | Cepamerica Illinois LLP | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Suhair S Abdel-jalil | Rheumatology | Presence Healthcare Services | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Adi Gidron | Hematology/oncology | Presence Healthcare Services | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Lauren C Pierce | Emergency Medicine | Cepamerica Illinois LLP | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Samantha Myers Callow | Emergency Medicine | Cepamerica Illinois LLP | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mirel Castle | Psychologist, Clinical | 1818 Dempster St, Evanston, IL 60202-1003 | |
| Marsha A Smith | Clinical Social Worker | 1818 Dempster St, Evanston, IL 60202-1003 | |
| Frank Rubin | Optometry | 1962 Dempster St, Evanston, IL 60202-1016 | |
| Coriann C Bauer | Chiropractic | 1954 Dempster St, Evanston, IL 60202-1016 | |
| Tabatha L Downey | Family Practice | Erie Family Health Center Inc | 1285 Hartrey Ave, Evanston, IL 60202-1056 |
| Sydney K Reed | Clinical Social Worker | 1151 Ashland Ave, Evanston, IL 60202-1140 | |
| Jessica Chase Burtner | Optometry | Myeyedr Optometry of Illinois LLC | 522 Dempster St, Evanston, IL 60202-1303 |
| Fredric Jerome Levy | Psychiatry | 1010 Sheridan Rd, Evanston, IL 60202-1440 | |
| Carl E Hill | Family Medicine | 841 Dodge Ave, Evanston, IL 60202-1552 | |
| Brenda N Black | Clinical Social Worker | 717 Main St, 2e, Evanston, IL 60202-1701 | |
| Find all physicians in zip 60202 | |||
| City | EVANSTON |
| Zip Code | 60202 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | EVANSTON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Sandra E Domico.
| 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.