Individual provider · Type 1 NPI

Michelle Ann Domanchuk, APN

Nurse Practitioner · Elmhurst, IL

NPI number 1184665010 Active

Practice location

110 E Schiller St, Suite 318
Elmhurst, IL 60126-2858

Mailing address

1107 Arlington Ave
La Grange, IL 60525-5811

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209-001363 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184665010

Michelle Ann Domanchuk, APN's National Provider Identifier is 1184665010, issued on Jun 10, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Elmhurst, IL. The record was last updated on Aug 22, 2008.