Individual
DR. EVILLO M DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2405 BIG WOODS DR, BATAVIA, IL 60510-7650
(630) 277-9651
Mailing address
2405 BIG WOODS DR, BATAVIA, IL 60510-7650
(567) 224-0854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-07-4369-D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2083972
—
OH
Enumeration date
06/09/2005
Last updated
09/10/2025
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