| Domenico Pllc | |
|
601 Il Route 59, Ingleside, IL 60041-9342 | |
| (847) 815-5972 | |
| Not Available |
| Full Name | Domenico Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 601 Il Route 59, Ingleside, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649944422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 111NN0400X | Chiropractor - Neurology | (* (Not Available)) | Secondary |
| Provider Name | Dana Muligano |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215528500 PECOS PAC ID: 3274930573 Enrollment ID: I20210929003397 |
| Mailing Address | Practice Location Address |
|---|---|
| Domenico Pllc 601 Il Route 59, Ingleside, IL 60041-9342 Ph: () - | Domenico Pllc 601 Il Route 59, Ingleside, IL 60041-9342 Ph: (847) 815-5972 |
Dr. Derrick Drew Pousson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 36485 N Maple Ave, Ingleside, IL 60041 Phone: 224-430-3352 | |
Dr. Dana Muligano, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 601 Il Route 59, Ingleside, IL 60041 Phone: 847-587-8011 | |
Dr. Forrest Frank Kogut, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 601 S Route 59, Ingleside, IL 60041 Phone: 847-587-8011 Fax: 847-587-5469 |