Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hazel Dhates Asunio Domingo, PA-C

Individual provider Physician Assistant · NPI 1508253410

Hazel Dhates Asunio Domingo, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2015, 11 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois and Maryland.

Years since qualifying
11
Licensed in
IL, MD
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

259 E Erie St Fl 16
Chicago, IL 60611-2987
Phone: (312) 695-5620
Fax: (312) 695-0042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.0007019 (IL)
Physician Assistant Taxonomy 363A00000X (MD)

Record details

NPI number1508253410
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 17, 2015
Last updated in NPPESAugust 5, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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