Individual provider · Type 1 NPI
Jennifer Padero Domingo
Nurse Practitioner · Chicago, IL
Practice location
1544 W Chicago Ave
Chicago, IL 60642-5236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209.033597 (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 1790647782
Jennifer Padero Domingo's National Provider Identifier is 1790647782, issued on Nov 27, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Nov 27, 2025.