Individual
MRS. MICHELLE ANN DOMANCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
110 E SCHILLER ST, SUITE 318, ELMHURST, IL 60126-2858
(630) 832-1775
Mailing address
1107 ARLINGTON AVE, LA GRANGE, IL 60525-5811
(708) 354-0332
(708) 763-2162
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-001363
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800012875
RAILROAD MEDICARE
IL
Enumeration date
06/10/2006
Last updated
08/22/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us