Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID F DIDOMENICO, MD DO
ActiveDR. DAVID F DIDOMENICO, MD DO is a Urology healthcare provider located in MATTOON, Illinois. NPI 1740297803 is currently active in the NPPES registry. Verify at CMS.
Urology · MATTOON, IL
Registration Details
- NPI Number
- 1740297803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2006 (19.999288924721 yrs)
- Last Updated
- Dec 15, 2023
- License
-
036088344 (IL)
Practice Information
- Address
-
1000 HEALTH CENTER DR STE 305MATTOON, IL, 619389261Browse IL providers · Browse ZIP 61938
- Phone
- 2172584186
- Fax
- 2173484185
- Primary Specialty
-
Urology
208800000X
Other Urology Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ROGER KENT RIVES | MD | 1861416372 |
| MR. KEITH E. BALLINGER | PA C | 1114934759 |
| JULIA VERONICA FIUK | MD | 1124467097 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.