Individual
DR. ROCCO JOHN DOMANICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1786 MOON LAKE BLVD, SUITE 104, HOFFMAN ESTATES, IL 60169-5029
(847) 755-8090
(847) 843-7393
Mailing address
1786 MOON LAKE BLVD, SUITE 104, HOFFMAN ESTATES, IL 60169-5029
(847) 755-8090
(847) 843-7393
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005136
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1625854
BCBS
—
Enumeration date
09/08/2006
Last updated
04/06/2021
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