Domingo, Carlo

Domingo, Carlo is an individual health care provider with primary practice located at 4 N Deer Point Dr Ste 1002, Hainesville IL 60030-3814. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Domingo, Carlo can be contacted via phone (847) 946-0198.

Contact Information

Primary practice address
4 N Deer Point Dr Ste 1002 Hainesville IL 60030-3814
Phone: (847) 946-0198
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209.019378 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209.019378 Illinois

Profile Details

NPI number 1194251272
LBN Legal business name Domingo, Carlo
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2017
Last updated Oct 11th, 2021 - about 4 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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