Organization
ZETA VISITING PHYSICIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLO DOMINGO NP (MANAGING PARTNER)
(567) 224-0949
Entity
Organization
Contact information
Practice address
2405 BIG WOODS DR, BATAVIA, IL 60510-7650
(847) 508-9999
(224) 526-5167
Mailing address
2405 BIG WOODS DR, BATAVIA, IL 60510-7650
(847) 508-9999
(224) 526-5167
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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