Domenique Colomba Voelsch, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013987 Issued in IL

Practice address

1615 W Main St
St Charles, IL 60174-1629

Phone

(630) 513-0600

NPI assigned

May 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Charles Service CorporationGroup PAC ID 1456501667, 5 clinicians

Sycamore Service CorporationGroup PAC ID 2769448646, 3 clinicians

Practice addresses (Care Compare)

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.

• St. Charles Service Corporation

  • Chiropractor
  • St. Charles, IL
  • NPI 1093070567
  Medicare reassignment Care Compare group NPD
• Sycamore Service Corporation

  • Chiropractor
  • Sycamore, IL
  • NPI 1841493111
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1699466342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 W MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 W MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741629",
            "telephone_number": "630-513-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOELSCH",
        "first_name": "DOMENIQUE",
        "middle_name": "COLOMBA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikko Gian Viejon
• Rosemary Villa, DDS, MAGD, FICD
• Vitahealth Services LLC
• Cosmo August Vivirito, DMD
• Rose M. Vivirito, D.D.S.
• Alina Maria Volodka, PA-C
• Faith H Volz, CADC
• Ellena Kontos Vranas, DDS
• Chaka Wade-Cuadra
• Samuel Wade

• Chiropractor in St Charles, IL
• Providers in St Charles, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.