Michael J Di Domenico PSYD

  • NPI 1861442345
According to our database, the NPI number for Michael J Di Domenico PSYD is 1861442345 and activated since 17 years ago. Michael J Di Domenico PSYD is an individual provider who specializes in Clinical Neuropsychologist, and the primary practice location is 910 Skokie Blvd Ste 201, Northbrook, IL 60062. You can also contact Michael J Di Domenico PSYD via telephone number is (630) 632-0746. Provider NPI information was last updated on 03/31/2021.

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Overview of Michael J Di Domenico PSYD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/12/2006
  • Last updated: 03/31/2021

Primary Scrop of Practice

  • Taxonomy Code: 103G00000X
  • Specialty: Clinical Neuropsychologist
  • License Number: 071005762
  • License State: IL

Provider Mailing Address

  • Address: Po Box 472
    Northbrook, IL 60065
  • Phone: 847-504-4060
  • Fax: 847-919-8399

Provider Practice Location

  • Address: 910 Skokie Blvd Ste 201
    Northbrook, IL 60062
  • Phone: 630-632-0746
  • Fax: 847-272-8221

Scope of Practice

  • Taxonomy Code: 103G00000X
  • Specialty: Clinical Neuropsychologist
  • License Number: 071005762
  • License State: IL
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 1623280
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: BLUE CROSS BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Michael J Di Domenico PSYD?
  • A: The npi number for Michael J Di Domenico PSYD is 1861442345.
  • Q: What are Michael J Di Domenico PSYD's specialties?
  • A: Michael J Di Domenico PSYD's specialties are Clinical Neuropsychologist and different specialities.
  • Q: What is the medical license for Michael J Di Domenico PSYD?
  • A: The medical license number for Michael J Di Domenico PSYD is 071005762 and issued in IL in USA.
  • Q: Where is Michael J Di Domenico PSYD practice location?
  • A: Michael J Di Domenico PSYD is practicing at 910 Skokie Blvd Ste 201, Northbrook, IL 60062.
  • Q: How to contact Michael J Di Domenico PSYD?
  • A: You can contact Michael J Di Domenico PSYD via 630-632-0746.