Mikaela Domico
Physician Assistant · Geneva, IL
NPI number
1639961642
Practice location
2535 Soderquist CtGeneva, IL 60134-0020
- Phone
- (630) 584-1400
NPI record
- NPI
- 1639961642
- Entity type
- Individual (Type 1)
- Enumeration date
- May 19, 2025
- Last updated
- May 19, 2025
- Certified
- May 18, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
— | — |
About Mikaela Domico
Mikaela Domico is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2535 Soderquist Ct, Geneva, IL 60134-0020. The NPI number 1639961642 was assigned on May 19, 2025 and the record was last updated on May 19, 2025.
Frequently asked questions
What is the NPI number of Mikaela Domico?
The NPI number is 1639961642.
What is the phone number of Mikaela Domico?
The phone number listed for the practice location is (630) 584-1400.
Where is Mikaela Domico located?
2535 Soderquist Ct, Geneva, IL 60134-0020.
What is the taxonomy code for Mikaela Domico?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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