Search › Illinois › 363A00000X
Hazel Dhates Domingo, PA-C
NPI 1508253410 · on the registry since 2015 · sole proprietor
Practice
- Address
- 259 E Erie St Fl 16
Chicago, IL 60611 - Phone
- (312) 695-5620
- Fax
- (312) 695-0042
- Organisation at this address
- Walgreen Co
Perry L. Kamel, M.D., S.C.
David J. Palmer, M.D., S.C.
Northwestern Medical Faculty Foundation
Northwestern Medical Faculty FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 478
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- MD, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-05
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