Zigma Home Physician LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ZIGMA HOME PHYSICIAN LLC

Practice address

2405 Big Woods Dr
Batavia, IL 60510-7650

Phone

(567) 884-0854

Fax

(224) 526-5167

NPI assigned

Aug 3, 2024

Organization subpart

No

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

Authorized official

Name

Evillo M Domingo, MDNPI 1770587693

Title

President

Phone

(567) 224-0854

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evillo M Domingo, MD

  • Family Medicine Physician
  • Batavia, IL
  • NPI 1770587693
  NPD Authorized official

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

{
    "created_epoch": "1722643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722643200000",
    "number": "1396575585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 BIG WOODS DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605107650",
            "telephone_number": "567-884-0854",
            "fax_number": "224-526-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 BIG WOODS DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605107650",
            "telephone_number": "567-884-0854",
            "fax_number": "224-526-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIGMA HOME PHYSICIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-03",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "EVILLO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "567-224-0854",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rena Myers Wright
• Dawn Marie Yarbrough, STUDENT
• Sarah Youngmark
• Catherine B. Youssef, M.D.
• Zeta Visiting Physician LLC
• Gregory Lynn Zimmerman, D.C.
• Allison Zuercher, M.S. CF-SLP
• Marko Zupan, PHARMD

• General Practice Physician in Batavia, IL
• Providers in Batavia, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.