Benjamin G Domb (NPI# 1154454635, PAC ID# 9032299458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1154454635 |
| PAC ID by PECOS | 9032299458 |
| Professional Enrollment ID | I20080110000209 |
| Full Name | Benjamin G Domb |
| Organization Legal Name | AMERICAN HIP INSTITUTE, LLC |
| Address |
999 E Touhy Ave Suite 450 Des Plaines IL 60018-2748 |
| Phone Number | 6309202323 |
| Gender | M |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9335488063 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140290 | ST ALEXIUS MEDICAL CENTER |
| 140288 | ADVOCATE GOOD SAMARITAN HOSPITAL |
| 140122 | HINSDALE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 999 E Touhy Ave, Suite 450, Des Plaines, IL 60018-2748 | 6309202323 | AMERICAN HIP INSTITUTE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | AMERICAN HIP INSTITUTE, LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany A Vonmoser | Physical Therapy | American Hip Institute, LLC | 999 E Touhy Ave, Suite 450, Des Plaines, IL 60018-2748 |
| Kristine M Maya | Physical Therapy | American Hip Institute, LLC | 999 E Touhy Ave, Suite 450, Des Plaines, IL 60018-2748 |
| Amanda L Frakes | Physician Assistant | American Hip Institute, LLC | 999 E Touhy Ave, Suite 450, Des Plaines, IL 60018-2748 |
| Rafael Walker Santiago | Orthopedic Surgery | American Hip Institute, LLC | 999 E Touhy Ave, Suite 450, Des Plaines, IL 60018-2748 |
| Gregory Frank Osier | Physician Assistant | American Hip Institute, LLC | 999 E Touhy Ave, Suite 450, Des Plaines, IL 60018-2748 |
| Ajay Lall | Orthopedic Surgery | American Hip Institute, LLC | 999 E Touhy Ave, Suite 450, Des Plaines, IL 60018-2748 |
| Street Address |
999 E TOUHY AVE SUITE 450 |
| City | DES PLAINES |
| State | IL |
| Zip | 60018-2748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany A Vonmoser | Physical Therapy | American Hip Institute, LLC | 999 E Touhy Ave, Suite 450, Des Plaines, IL 60018-2748 |
| Kristine M Maya | Physical Therapy | American Hip Institute, LLC | 999 E Touhy Ave, Suite 450, Des Plaines, IL 60018-2748 |
| Amanda L Frakes | Physician Assistant | American Hip Institute, LLC | 999 E Touhy Ave, Suite 450, Des Plaines, IL 60018-2748 |
| Rafael Walker Santiago | Orthopedic Surgery | American Hip Institute, LLC | 999 E Touhy Ave, Suite 450, Des Plaines, IL 60018-2748 |
| Gregory Frank Osier | Physician Assistant | American Hip Institute, LLC | 999 E Touhy Ave, Suite 450, Des Plaines, IL 60018-2748 |
| Ajay Lall | Orthopedic Surgery | American Hip Institute, LLC | 999 E Touhy Ave, Suite 450, Des Plaines, IL 60018-2748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Anne Macnab | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Frederick Duane Sampang | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Mariola A Gruba | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Artur R Wozniczka | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Tina F Bailey | Occupational Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Allison N Welch | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Melissa L Mara | Occupational Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Joseph E Rappa | Occupational Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Melissa J Winterhalter | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Benjamin V Jose | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Find all physicians in zip 60018 | |||
| City | DES PLAINES |
| Zip Code | 60018 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | DES PLAINES + ORTHOPEDIC SURGERY |
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| 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.