SearchIllinoisMedical 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 Pa
Inferred 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