Search › Illinois › 363LA2100X
Dominique Ely, AGACNP-BC
NPI 1629490081 · on the registry since 2014
Practice
- Address
- 302 W Hay St Ste 140
Decatur, IL 62526 - Phone
- (217) 872-2713
- Fax
- (217) 545-1958
- Organisation at this address
- Steven E Weber, Md, Ltd
John W. Newlin, M.D., Llc
Urology Assoc Of Decatur Ltd
Midwest Neurology Associates, S.C.
Midwest Neurology Associates, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Additional practice sites
- 747 N Rutledge St Fl 4, Springfield, IL
- 611 W Park St, Urbana, IL
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363L00000X
363LA2200X
363LG0600X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois