Azarcon, Dominique V

Azarcon, Dominique V is an individual health care provider with primary practice located at 1420 Renaissance Dr Suite 207, Park Ridge IL 60068-1330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Azarcon, Dominique V can be contacted via phone (847) 296-6161.

Contact Information

Primary practice address
1420 Renaissance Dr Suite 207 Park Ridge IL 60068-1330
Fax: (847) 296-6262
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-003546 Illinois

Profile Details

NPI number 1780918920
LBN Legal business name Azarcon, Dominique V
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2009
Last updated Apr 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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