Dominic Joseph Marchiafava, PA-C
Physician Assistant in Arlington Heights, IL. Individual provider (NPI-1).
NPI number1497375554
StatusActive
Last updated in NPPESDec 20, 2021
Details
- NPI
- 1497375554
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dominic Joseph Marchiafava
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2020
- Certification date
- Dec 20, 2021
- Last updated
- Dec 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085007984 | IL | Yes |
Practice location
411 W Foxdale LnArlington Heights, IL 60004-1307
Phone 847-452-5237
Mailing address
411 W Foxdale LnArlington Heights, IL 60004-1307
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