Search › Illinois › 103G00000X
Michael Di Domenico, PSYD
NPI 1861442345 · on the registry since 2006 · sole proprietor
Practice
- Address
- 707 Skokie Blvd Ste 600
Northbrook, IL 60062 - Phone
- (630) 632-0746
- Fax
- (847) 272-8221
- Organisation at this address
- Introspekt Therapy
Lauren Raphael Lcsw Llc
Absolute Therapy Services Llc
Milestones Pediatric Therapy, Llc
Milestones Pediatric Therapy Of The United States LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Also registered as
- 103TC0700X
103TC0700X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-25
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