Dominno Fogle, M.M.S., PA-C
NPI 1255615365 belongs to Dominno Fogle, M.M.S., PA-C, a medical physician assistant with a practice location in Deer Park, IL. The NPI was issued on October 7, 2011, and the record was last updated in NPPES on June 10, 2024.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 085004161 (IL) |
Practice location
Local context
Active NPPES records list 175 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 39 of them within 10 miles.
The same primary taxonomy is listed by 687 in Illinois and 40,194 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Mrs. Dominno Caroline Fogle
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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