Individual provider · Type 1 NPI

Mark Domaas, DPM

Foot & Ankle Surgery Podiatrist · Chicago, IL

NPI number 1265845010 Active

Practice location

1501 S California Ave
Chicago, IL 60608-1732

Call (773) 542-2000 Map

Mailing address

1501 S California Ave # 7-140
Chicago, IL 60608-1732

Other practice locations

  • 4450 31st Ave S, Ste 102, Fargo, ND 58104-4557 · (701) 566-8721

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X016005716 (IL)
Podiatrist 213E00000X82 (ND)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1265845010

Mark Domaas, DPM's National Provider Identifier is 1265845010, issued on Jun 10, 2014. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Chicago, IL. The record was last updated on Mar 18, 2026.