Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104840073 Individual Practitioner Male Practitioner

Dr. Rafael Roberto Dominguez , MD

Pediatrics • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Dominguez, MD is a registered healthcare professional specializing in Pediatrics in Chicago, IL. Practice services are available at 1701 W SUPERIOR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1701 W Superior St

Chicago, IL 606225646

Telephone 3126663494
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
1180 Specialists

Practicing in Chicago, IL (3277 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036112018

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 036-112018

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Silvia Diaz , LCSW

Social Worker - Clinical

NPI 1003204686

Licensed Clinical Social Worker

Samantha Jerusal

Nurse Practitioner - Pediatrics

NPI 1013610971
Nida Bajwa

Family Medicine

NPI 1033744081
Dr. Preiyaa Gopinath , MD

Internal Medicine

NPI 1043746449

Doctor of Medicine (M.D.)

Carla Villarreal

Family Medicine

NPI 1043779960
Dr. Nicole Runkle , MD

Family Medicine

NPI 1043834252

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2021

Pediatrics (License #036112018 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1701 W SUPERIOR ST, CHICAGO, IL 606225646 (Tel: 3126663494)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1321 W HOOD AVE # 2, CHICAGO, IL 606602507 (Tel: 7738565308)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RAFAEL DOMINGUEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics

🟢
Initial NPI Registration & Enumeration July 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104840073
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2006
Last Update: August 11, 2021
Sole Proprietor: No

Mailing Address

1321 W Hood Ave # 2

Chicago, IL 606602507

Phone: 7738565308

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.