Individual provider · Type 1 NPI

Ma Portia Bernadette Guce Domingo, DO

Family Medicine Physician · Bloomington, IL

NPI number 1700573722 Active

Practice location

1701 E College Ave
Bloomington, IL 61704-2101

Call (309) 664-3000 Map

Other practice locations

  • 819 S 13th St, Mount Vernon, WA 98274-4112 · (360) 814-6230

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X036182000 (IL)
Neuromusculoskeletal Medicine & OMM Physician 204D00000X036182000 (IL)
Student in an Organized Health Care Education/Training Program 390200000XOL61440780 (WA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1700573722

Ma Portia Bernadette Guce Domingo, DO's National Provider Identifier is 1700573722, issued on Apr 19, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bloomington, IL. The record was last updated on Sep 3, 2026.