TETYANA DOMANCHUK
NPI 1841137304
Nurse Practitioner in Skokie, IL

Active since May 01, 2026
4860 OAKTON ST, SKOKIE, IL 60077(847) 329-0470 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tetyana Domanchuk NPPES

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

TETYANA DOMANCHUK (NPI 1841137304) is an individual nurse practitioner in Skokie, Illinois, licensed in Illinois (209.032799) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1841137304
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTETYANA DOMANCHUK
Location Address4860 OAKTON STSkokie, IL 60077-2953
Mailing Address690 Brighton PlWheeling, IL 60090-2626
Sole ProprietorNo
Enumeration DateMay 1, 2026
NPPES CertifiedMay 1, 2026
NPI 1841137304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209.032799
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4860 OAKTON ST, Skokie, IL 60077

Other Providers at the Same Location NPPES 5

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

Family Medicine
4860 OAKTON ST
SKOKIE, IL 60077
Clinic/Center
4860 OAKTON ST
SKOKIE, IL 60077
Nurse Practitioner (Family)
4860 OAKTON ST
SKOKIE, IL 60077
Family Medicine
4860 OAKTON ST
SKOKIE, IL 60077
Nurse Practitioner (Adult Health)
4860 OAKTON ST
SKOKIE, IL 60077

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 Tetyana Domanchuk's NPI number?

The NPI number for Tetyana Domanchuk is 1841137304. It was assigned to this individual provider in the NPPES registry on May 1, 2026.

Where is Tetyana Domanchuk located?

Tetyana Domanchuk practices at 4860 Oakton St, Skokie, IL 60077. The listed phone number is (847) 329-0470.

What is Tetyana Domanchuk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tetyana Domanchuk was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.