VINCENT DOMINGO DC CSCS PROFESSIONAL CORPORATION
NPI 1790014108
Chiropractor in Chicago, IL

Active since December 14, 2009
1255 W DIVERSEY PKWY, CHICAGO, IL 60614(773) 472-0700 Get Directions Write a Review

NPPES record last updated: October 18, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vincent Domingo Dc Cscs Professional Corporation NPPES

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

VINCENT DOMINGO DC CSCS PROFESSIONAL CORPORATION (NPI 1790014108) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since December 2009. The organization lists Vincent Domingo, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1790014108
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameVINCENT DOMINGO DC CSCS PROFESSIONAL CORPORATION
Location Address1255 W DIVERSEY PKWYChicago, IL 60614-1201
Mailing Address1255 W Diversey PkwyChicago, IL 60614-1111 · (773) 472-0700
Organization SubpartNo
Authorized OfficialVincent DomingoOwner/president · (773) 472-0700
Enumeration DateDecember 14, 2009
Last NPPES UpdateOctober 18, 2013
NPI 1790014108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038-010182
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1255 W DIVERSEY PKWY, Chicago, IL 60614

Other Identifiers 10

Medicare PIN211960IL
Other9386175IL · Phcs
Other7199662IL · Cigna
Other7296704IL · Aetna
OtherDE5467IL · Railroad Medicare Group
Other01635354IL · Blue Cross Blue Shield
Medicare UPINV05866IL
Other668809IL · United Healthcare
OtherP00299763IL · Railroad Medicare Pin
Other11487753IL · Caqh

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 3

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

Specialist
1255 W DIVERSEY PKWY
CHICAGO, IL 60614
Chiropractor
1255 W DIVERSEY PKWY
CHICAGO, IL 60614
Chiropractor
1255 W DIVERSEY PKWY
CHICAGO, IL 60614

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 Vincent Domingo Dc Cscs Professional Corporation's NPI number?

The NPI number for Vincent Domingo Dc Cscs Professional Corporation is 1790014108. It was assigned to this organization in the NPPES registry on December 14, 2009.

Where is Vincent Domingo Dc Cscs Professional Corporation located?

Vincent Domingo Dc Cscs Professional Corporation is located at 1255 W Diversey Pkwy, Chicago, IL 60614. The listed phone number is (773) 472-0700.

What is Vincent Domingo Dc Cscs Professional Corporation's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Vincent Domingo Dc Cscs Professional Corporation was last updated on October 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.