M DOMINGUEZ JR MD SC
NPI 1609056795
Clinic/Center - Primary Care in Chicago, IL

NPI Status: Active since November 06, 2007

Contact Information

1431 N WESTERN AVE
SUITE 212
CHICAGO, IL
ZIP 60622
Phone: (773) 770-3409
Fax: (773) 770-3418

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  • Organization
  • Clinic/Center
  • Primary Care

About M DOMINGUEZ JR MD SC

This page provides the complete NPI Profile along with additional information for M Dominguez Jr Md Sc, a primary care provider established in Chicago, Illinois operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1609056795 assigned on November 2007. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Dr. Manuel Garcia Dominguez Jr. M.d. (President)

NPI
1609056795
Provider Name
M DOMINGUEZ JR MD SC
Entity Type
Organization
Location Address
1431 N WESTERN AVE SUITE 212 CHICAGO, IL 60622
Location Phone
(773) 770-3409
Location Fax
(773) 770-3418
Mailing Address
1431 N WESTERN AVE SUITE 212 CHICAGO, IL 60622
Mailing Phone
(773) 770-3409
Mailing Fax
(773) 770-3418
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2007
Last Update Date
11-06-2007
Code Navigator

A primary care provider (PCP) like M Dominguez Jr Md Sc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MANUEL GARCIA DOMINGUEZ JR. M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(773) 770-3409

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
208970MEDICARE PIN (08)IL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609056795, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 0 + 5 + 1 + 2 + 7 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1609056795.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine (Addiction Medicine)
1431 N WESTERN AVE, SUITE 205
CHICAGO, IL 60622
Specialist
1431 N WESTERN AVE, SUITE 510
CHICAGO, IL 60622
Specialist
1431 N WESTERN AVE
CHICAGO, IL 60622
Orthopaedic Surgery
1431 N WESTERN AVE
CHICAGO, IL 60622
Family Medicine
1431 N WESTERN AVE, SUITE 112
CHICAGO, IL 60622
Pediatrics
1431 N WESTERN AVE, SUITE 101
CHICAGO, IL 60622
Podiatrist (Foot & Ankle Surgery)
1431 N WESTERN AVE, SUITE 210
CHICAGO, IL 60622
Internal Medicine
1431 N WESTERN AVE, SUITE #209
CHICAGO, IL 60622
Family Medicine
1431 N WESTERN AVE, SUITE 309
CHICAGO, IL 60622
Specialist
1431 N WESTERN AVE, 134
CHICAGO, IL 60622
Physical Therapist
1431 N WESTERN AVE, 140
CHICAGO, IL 60622
Psychiatry & Neurology (Neurology)
1431 N WESTERN AVE, SUITE 306
CHICAGO, IL 60622
Pharmacist
1431 N WESTERN AVE
CHICAGO, IL 60622
Family Medicine (Addiction Medicine)
1431 N WESTERN AVE, SUITE 205
CHICAGO, IL 60622
Internal Medicine (Gastroenterology)
1431 N WESTERN AVE, SUITE 133
CHICAGO, IL 60622
Specialist
1431 N WESTERN AVE, SUITE 134
CHICAGO, IL 60622
Internal Medicine (Nephrology)
1431 N WESTERN AVE, SUITE 202
CHICAGO, IL 60622
Psychiatry & Neurology (Psychiatry)
1431 N WESTERN AVE, 504
CHICAGO, IL 60622
Specialist
1431 N WESTERN AVE, SUITE 504
CHICAGO, IL 60622
Family Medicine
1431 N WESTERN AVE, SUITE 508
CHICAGO, IL 60622

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609056795, enumerated as an "organization" on November 06, 2007.

The provider is located at 1431 N WESTERN AVE SUITE 212 CHICAGO, IL 60622 and the phone number is (773) 770-3409.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.