Search › Illinois › 207Q00000X
Ma Portia Bernadette Domingo, DO
NPI 1700573722 · on the registry since 2023
Practice
- Address
- 1701 E College Ave
Bloomington, IL 61704 - Phone
- (309) 664-3000
- Organisation at this address
- St Joseph Medical Center
St. Joseph Medical Center
Carle Foundation Hospital
Carle Foundation Hospital
Osf Multi-Specialty GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 61
Additional practice sites
- 819 S 13th St, Mount Vernon, WA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 204D00000X
390200000X - Licence states on file
- IL, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-03
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