Vincent Domingo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010182 Issued in IL

Practice address

4149 W 26TH St
Chicago, IL 60623-4314

Phone

(725) 421-1117

Fax

(773) 542-7100

NPI assigned

Jan 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patrick Labelle DC SC

  • Chiropractor
  • Chicago, IL
  • NPI 1063828309
  NPD
• Vinrj LLC

  • Nurse Practitioner
  • Nashua, NH
  • NPI 1710605837
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1033198643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234314",
            "telephone_number": "847-671-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234314",
            "telephone_number": "725-421-1117",
            "fax_number": "773-542-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "668809",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE CARE/HUMANA",
            "identifier": "20-2769660",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7296704",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTCARE SYSTEMS",
            "identifier": "9386175",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hazel Dhates Asunio Domingo, PA-C
• Jane Ellen Harris Domingo, M.S., CCC-SLP
• Jennifer Padero Domingo
• Mare Chris Deanne a Domingo, PHARMD
• Mariane Domingo, FNP-BC
• Juan R Dominguez Jr Jr., MA
• Amanda Nicole Dominguez
• Bessie Smithers Dominguez, M.D.
• Cathy Dominguez
• Christopher Dominguez, LICENSED SOCIAL WORK

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.