Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Padero Domingo

Individual provider Nurse Practitioner · NPI 1790647782

Jennifer Padero Domingo is a Nurse Practitioner in Chicago, Illinois. Qualified in 2025, 1 year ago. Practices with Shifa Nephrology Associates LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025
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Practice location Address checks out

1544 W Chicago Ave
Chicago, IL 60642-5236
Phone: (773) 232-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.033597 (IL)

Record details

NPI number1790647782
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedNovember 27, 2025
Last updated in NPPESNovember 27, 2025
Certification dateNovember 26, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Shifa Nephrology Associates Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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