Domiano, Steven

Domiano, Steven is an individual health care provider with primary practice located at 2800 W 95Th St , Evergreen IL 60805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Domiano, Steven can be contacted via phone (708) 229-5104.

Contact Information

Primary practice address
2800 W 95Th St Evergreen IL 60805
Phone: (708) 229-5104
Fax: (630) 323-1699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036084150 Illinois

Profile Details

NPI number 1578582532
LBN Legal business name Domiano, Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 23rd, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578582532 NPPES
Illinois MEDICAID 036084150
Illinois Other 300027345
Illinois Other 0221524519

Popular Providers