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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE V AZARCON, PA-C

Active

DOMINIQUE V AZARCON, PA-C is a Physician Assistant healthcare provider located in PARK RIDGE, Illinois. NPI 1780918920 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PARK RIDGE, IL

Registration Details

NPI Number
1780918920
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2009 (16.888050358936 yrs)
Last Updated
Apr 6, 2021
License
085-003546 (IL)

Practice Information

Address
1420 RENAISSANCE DR
SUITE 207
PARK RIDGE, IL, 600681330
Browse IL providers · Browse ZIP 60068
Phone
8472966161
Fax
8472966262
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PARK RIDGE, IL

Name Credential NPI
TARA LYKOWSKI PA-C 1023092319
MARY V SZPUR PAC 1720066418
RICKY D SHAPIRO PA C 1457330425
CLIFFORD WHITEHOUSE PA-C 1780647362
LEAH D KAMPAS P.A. 1588778906
MR. BRIAN HENNIG PA-C 1457439408
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.