Mrs. Dominno Caroline Fogle, MMS, PA-C
Mrs. Dominno Caroline Fogle, MMS, PA-C is a Medical Physician Assistant in Deer Park, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
21660 W Field PkwyDeer Park, IL 60010-7265
Phone: (888) 803-3370
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 085004161 (IL) |
|---|
Record details
| NPI number | 1255615365 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MMS , PA-C |
| Sole proprietor | No |
| NPI enumerated | October 7, 2011 |
| Last updated in NPPES | June 10, 2024 |
| Certification date | June 10, 2024 |