Vincent Domingo DC SC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

VINCENT DOMINGO DC SC

Doing business as

Performance Health Medical & Rehab

Practice address

3545 N Rose Street
Franklin Park, IL 60131

Phone

(847) 671-0555

Fax

(847) 671-0685

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Domingo, DC

Title

Chiropractic Physician

Phone

(847) 671-0555

Specialties & licenses 7

Addresses

Other identifiers 2

Other names 1

• Performance Health Medical & Rehab Doing business as

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1902082100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 N ROSE STREET",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "60131",
            "telephone_number": "847-671-0555",
            "fax_number": "847-671-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 N ROSE STREET",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "60131",
            "telephone_number": "847-671-0555",
            "fax_number": "847-671-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT DOMINGO DC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "847-671-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMBER",
            "identifier": "K19177",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01635354",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Health Medical & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Louis Vazquez II
• Village of Franklin Park
• Elizabeth Villalobos
• Kaylynn Ilianie Villanueva
• Myra Villas
• Danielle Volino
• Walgreen Co
• Walgreen Co.
• Michael Anthony Walsh, DPM
• William Gregory White, MD

• Physical Medicine & Rehabilitation Physician in Franklin Park, IL
• Providers in Franklin Park, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.