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DOMINIQUE MCMILLON
NPI 1710403845
Licensed Practical Nurse in Decatur, IL

Active since August 21, 2017
151 N MAIN ST, DECATUR, IL 62523(217) 362-6262 Get Directions Write a Review

NPPES record last updated: August 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Mcmillon NPPES

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

DOMINIQUE MCMILLON (NPI 1710403845) is an individual licensed practical nurse in Decatur, Illinois, licensed in Illinois (043122650) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1710403845
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDOMINIQUE MCMILLON
Location Address151 N MAIN STDecatur, IL 62523-1206
Mailing Address151 N Main StDecatur, IL 62523-1206
Phone(217) 362-6262
Sole ProprietorNo
Enumeration DateAugust 21, 2017
✔ NPI 1710403845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043122650
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
151 N MAIN ST, Decatur, IL 62523
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Other Identifiers 1

Medicaid1639231731IL

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.

CARRIE A RAY
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
CATHY JOHANSEN L.P.N.
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
MATYA LEANN RILEY FNP-C
Nurse Practitioner (Family)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
ADDIE L SMITH LSW
Social Worker
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
BARBARA L PICKETT
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
HERITAGE BEHAVIORAL HEALTH CENTER INC.
Clinic/Center (Primary Care)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
MICHELLE HANSON LCPC
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
LESA J MCMAHON-LOWE LCPC
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 420-4776

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 Dominique Mcmillon's NPI number?

The NPI number for Dominique Mcmillon is 1710403845. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Dominique Mcmillon located?

Dominique Mcmillon practices at 151 N Main St, Decatur, IL 62523. The listed phone number is (217) 362-6262.

What is Dominique Mcmillon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Dominique Mcmillon was last updated on August 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.