Individual provider Active NPI

Azalia Ferrer Dominguez

  • Licensed Practical Nurse
  • Hoffman Estates, IL
National Provider Identifier
1871408047
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
043.131653 Issued in IL
Practice address
2353 Hassell Rd Ste 115
Hoffman Estates, IL 60169-2170
Phone
(630) 635-2255
NPI assigned
Aug 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 043.131653 IL Primary

Addresses

Primary practice location

2353 Hassell Rd Ste 115
Hoffman Estates, IL 60169-2170

Mailing address

2353 Hassell Rd Ste 115
Hoffman Estates, IL 60169-2170
Phone (630) 635-2255

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Treatment Center - Hoffman Estates LLC PastSince Jul 28, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1871408047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 HASSELL RD STE 115",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692170",
            "telephone_number": "630-635-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 HASSELL RD STE 115",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692170",
            "telephone_number": "630-635-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRER DOMINGUEZ",
        "first_name": "AZALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043.131653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.