Domingo, Vincent

Domingo, Vincent is an individual health care provider with primary practice located at 4149 W 26Th St , Chicago IL 60623-4314. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Domingo, Vincent can be contacted via phone (725) 421-1117.

Contact Information

Primary practice address
4149 W 26Th St Chicago IL 60623-4314
Phone: (725) 421-1117
Fax: (773) 542-7100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-010182 Illinois

Profile Details

NPI number 1033198643
LBN Legal business name Domingo, Vincent
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 13th, 2020 - about 6 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 1033198643 NPPES
Illinois Other 668809 UNITED HEALTHCARE
Illinois Other 20-2769660 UNITED HEALTHCARE
Illinois Other 7296704 UNITED HEALTHCARE
Illinois Other 9386175 UNITED HEALTHCARE

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