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Contact Information

MARK DOMAAS, DPM
1501 S CALIFORNIA AVE
CHICAGO, IL60608-1732
 Phone: 773-542-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARK DOMAAS · (Male)

NPI Number 1265845010
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/10/2014
Last updated 03/18/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 016005716
  • ND License # 82
  • IL Medicaid 016005716
Hospital affiliation(s)
  • MT SINAI HOSPITAL MEDICAL CENTER - (Acute Care)
    15TH STREET AT CALIFORNIA
    CHICAGO, IL 60608
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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