Individual
DR. MARK DOMAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 542-2000
Mailing address
1501 S CALIFORNIA AVE # 7-140, CHICAGO, IL 60608-1732
(773) 542-2000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005716
IL
213E00000X
Podiatrist
82
ND
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005716
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005716
—
IL
Enumeration date
06/10/2014
Last updated
03/18/2026
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