Individual
MR. DOMENICO ASCENZIO JOHN FARINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 E ERIE ST STE 1600, CHICAGO, IL 60611-3111
(312) 695-5620
(312) 695-2729
Mailing address
259 E ERIE ST STE 1600, CHICAGO, IL 60611-3111
(312) 695-5620
(312) 695-2729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.068463
IL
207RG0100X
Gastroenterology Physician
Primary
036149120
IL
Other
Enumeration date
04/27/2016
Last updated
08/23/2022
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