Domanico, Rocco John

Domanico, Rocco John is an individual health care provider with primary practice located at 1786 Moon Lake Blvd Suite 104, Hoffman Estates IL 60169-5029. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Domanico, Rocco John can be contacted via phone (847) 755-8090.

Contact Information

Primary practice address
1786 Moon Lake Blvd Suite 104 Hoffman Estates IL 60169-5029
Phone: (847) 755-8090
Fax: (847) 843-7393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071005136 Illinois

Profile Details

NPI number 1750485975
LBN Legal business name Domanico, Rocco John
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Apr 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750485975 NPPES
Other 1625854 BCBS

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