Organization
VINCENT DOMINGO DC SC
Active
Organization
VINCENT DOMINGO DC SC
Active
Other names
Performance Health Medical & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT DOMINGO DC (CHIROPRACTIC PHYSICIAN)
(847) 671-0555
Entity
Organization
Contact information
Practice address
3545 N ROSE STREET, FRANKLIN PARK, IL 60131
(847) 671-0555
(847) 671-0685
Mailing address
3545 N ROSE STREET, FRANKLIN PARK, IL 60131
(847) 671-0555
(847) 671-0685
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
225400000X
Rehabilitation Practitioner
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635354
BCBS
IL
01
—
K19177
MEMBER
—
Enumeration date
01/17/2008
Last updated
01/06/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up