Individual provider Active NPI

Lauren Domski, NP

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1831549427
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209013977 Issued in IL
Practice address
1729 N Clybourn Ave Unit C1
Chicago, IL 60614-6503
Phone
(312) 374-3947
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209013977 IL Primary

Addresses

Primary practice location

1729 N Clybourn Ave Unit C1
Chicago, IL 60614-6503

Mailing address

1315 Butterfield Rd Ste 206
Downers Grove, IL 60515-5602
Phone (630) 317-7690

Other practice location 1

111 W Washington St
Suite 901
Chicago, IL 60602-2703
Phone (312) 291-8335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209013977ILMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1831549427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 BUTTERFIELD RD STE 206",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155602",
            "telephone_number": "630-317-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 N CLYBOURN AVE UNIT C1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146503",
            "telephone_number": "312-374-3947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Washington St",
            "address_2": "Suite 901",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606022703",
            "country_code": "US",
            "telephone_number": "312-291-8335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMSKI",
        "first_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209013977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.