Robert J. Didomenico, D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038006616 Issued in IL

Legal business name

ROBERT J. DIDOMENICO, D.C., P.C.

Practice address

711 W. North Ave
201
Chicago, IL 60610-1042

Phone

(312) 664-9060

Fax

(312) 664-9181

NPI assigned

Nov 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Didomenico, D.C.NPI 1538251517

Title

Chiropractic Physician

Phone

(312) 664-9060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Robert J Didomenico, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1538251517
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1548547706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W. NORTH AVENUE",
            "address_2": "201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101042",
            "telephone_number": "312-664-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W. NORTH AVE",
            "address_2": "201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101042",
            "telephone_number": "312-664-9060",
            "fax_number": "312-664-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. DIDOMENICO, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "DIDOMENICO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "312-664-9060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Hjertquist, Inc.
• Robert I. Wier DDS, LTD
• Robert J Kash, M.D., S.C.
• Robert J Leider MDSC
• Robert J Walsh MD, S.C
• Robert J. Moretti, PH.D., & Associates
• Robert J. Wolin, DDS
• Robert L Heilbronner, PHD
• Robert L Holstein MD SC
• Robert L Neems DDS PC

• 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 Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.