Search › Illinois › Medical Physician Assistant
Dominno Fogle, M.M.S., PA-C
NPI 1255615365 · on the registry since 2011
Practice
- Address
- 21660 W Field Pkwy
Deer Park, IL 60010 - Phone
- (888) 803-3370
- Organisation at this address
- Deer Park Dental Ltd
Medicaid Support, Llc
Retreat Care Group, P.A.
Allure Urogynecology Pllc
Circle Medical Care Group PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois