JOHN M DOMANICO, D.D.S., P.C.
NPI 1508262544
Dentist - Oral and Maxillofacial Surgery in Chicago, IL

Q: What is John M Domanico, D.D.S., P.C.'s NPI number?

The NPI number for John M Domanico, D.D.S., P.C. is 1508262544. It was assigned to this organization in the NPPES registry on November 18, 2014.

Q: What is John M Domanico, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since November 18, 2014

30 N MICHIGAN AVE, SUITE522, CHICAGO, IL 60602(312) 629-3530(312) 629-3516 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John M Domanico, D.d.s., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN M DOMANICO, D.D.S., P.C. (NPI 1508262544) is a healthcare organization registered as an oral and maxillofacial surgery in Chicago, Illinois and active in the NPI registry since November 2014. The organization lists John M Domanico, Owner, as its authorized official.

NPPES Registry Identity

NPI1508262544

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameJOHN M DOMANICO, D.D.S., P.C.

Location Address30 N MICHIGAN AVE, SUITE522Chicago, IL 60602-3402

Mailing Address30 N Michigan Ave, Suite522Chicago, IL 60602-3402 · (312) 629-3530 · Fax (312) 629-3516

Phone(312) 629-3530

Fax(312) 629-3516

Organization SubpartNo

Authorized OfficialJohn M DomanicoOwner · (312) 629-3530

Enumeration DateNovember 18, 2014

✔ NPI 1508262544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

30 N MICHIGAN AVE, Chicago, IL 60602

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Other Identifiers 2

Other1295840304IL · Nppes.cms.hhs.gov

Other1962500348IL · Nppes.cms.hhs.gov

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY M. CROWE DMD PC

Dentist (General Practice)

30 N MICHIGAN AVE, SUITE 1329
CHICAGO, IL 60602

Cook County (312) 782-2844

AYESHA SIDDIQI M.D.

Allergy & Immunology

30 N MICHIGAN AVE, #1107
CHICAGO, IL 60602

Cook County (312) 236-3642

SUSAN LYNN PELTON PH.D.

Psychologist (Clinical)

30 N MICHIGAN AVE, SUITE 1703
CHICAGO, IL 60602

Cook County (312) 909-9699

MS. BETTY B. SMITH LCSW, BCD

Social Worker (Clinical)

30 N MICHIGAN AVE, SUITE 1518
CHICAGO, IL 60602

Cook County (312) 201-1301

DR. KEVIN D DOW D.D.S

Dentist (General Practice)

30 N MICHIGAN AVE, SUITE #1506
CHICAGO, IL 60602

Cook County (312) 372-4845

MARYSUE MASTEY LCPC

Counselor (Professional)

30 N MICHIGAN AVE, SUITE 1002
CHICAGO, IL 60602

Cook County (847) 302-8647

DR. NADIA PERSHAD PSY.D.

Psychologist (Clinical)

30 N MICHIGAN AVE, SUITE 1203
CHICAGO, IL 60602

Cook County (773) 495-8905

MRS. ERINN WILLIAMS LPC

Counselor (Professional)

30 N MICHIGAN AVE, SUITE 424
CHICAGO, IL 60602

Cook County (312) 279-9981

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John M Domanico, D.D.S., P.C.'s NPI number?

The NPI number for John M Domanico, D.D.S., P.C. is 1508262544. It was assigned to this organization in the NPPES registry on November 18, 2014.

Where is John M Domanico, D.D.S., P.C. located?

John M Domanico, D.D.S., P.C. is located at 30 N Michigan Ave Suite522, Chicago, IL 60602. The listed phone number is (312) 629-3530.

What is John M Domanico, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for John M Domanico, D.D.S., P.C. was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.