Vincent Domingo DC CSCS Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010182 Issued in IL

Legal business name

VINCENT DOMINGO DC CSCS PROFESSIONAL CORPORATION

Practice address

1255 W Diversey Pkwy
Chicago, IL 60614-1201

Phone

(773) 472-0700

NPI assigned

Dec 14, 2009

Organization subpart

No

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

Authorized official

Name

Vincent Domingo, DC

Title

Owner/President

Phone

(773) 472-0700

Specialties & licenses 1

Addresses

Other identifiers 8

Practitioners 2

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

• Patrick Labelle, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1194804799
  NPD
• Linzi Melchor, LMT

  • Specialist
  • Chicago, IL
  • NPI 1932589868
  NPD (past)

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1790014108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W DIVERSEY PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141111",
            "telephone_number": "773-472-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W DIVERSEY PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141201",
            "telephone_number": "773-472-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT DOMINGO DC CSCS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "773-472-0700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11487753",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7296704",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9386175",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "668809",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00299763",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7199662",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01635354",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DE5467",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vinac Medical Center SC
• Katherine M Vinaitheerthan, LCSW
• Patricia A Vinaja, P.T.
• Jorge Vinales, MD
• Austin Vince
• Camille Jeanne Vincent
• Derek Vincent, LCPC
• Sithara Vincent
• Laura Elizabeth Vinci de Vanegas, PT
• Kristina Anne Vinci, PHARMD

• 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 Oct 18, 2013; 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.