MRS. JANE ELLEN HARRIS DOMINGO (NPI# 1063683894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063683894 |
| Entity Type | Individual |
| Full Name | MRS. JANE ELLEN HARRIS DOMINGO |
| Credential | M.S., CCC-SLP |
| Practice Address |
5333 N Sheridan Rd Genesis Rehabilitation Chicago IL 60640-7371 |
| Mailing Address |
1401 S California Ave Schwab Rehabilitation Hospital Chicago IL 60608-1858 |
| Practice Telephone | 7732715189 |
| Practice Fax Number | 7732715109 |
| Mailing Telephone | 7735226511 |
| Mailing Fax Number | 7735225840 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2012-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146006946 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619020 | Jane Domingo | Behavior Technician | 1050 Fulton Ave Ste 235, Sacramento, CA 95825-4299 | 2019-09-25 |
| Street Address |
5333 N SHERIDAN RD GENESIS REHABILITATION |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-7371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297485 | Emma Ann Palmer | Social Worker | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2020-02-19 |
| 1487293668 | Andrew Perry | Occupational Therapist | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2020-01-05 |
| 1144863770 | Jon Daniel Dinopol | Physical Medicine & Rehabilitation | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2019-10-27 |
| 1760031405 | Bryan Rogers | Physical Therapy Assistant | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2019-09-05 |
| 1609420587 | Annmarie Lyons | Occupational Therapy Assistant | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2019-07-29 |
| 1922574367 | Emily Vergo | Speech-Language Pathologist | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2018-10-23 |
| 1629557038 | Selena Sacchetti | Occupational Therapist | 5333 N Sheridan Rd, Chicago, IL 60640 | 2018-08-08 |
| 1699170373 | Derek Goff | Physical Therapy Assistant | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2014-10-24 |
| 1831502236 | Neama Farhan | Physical Therapy Assistant | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2014-06-04 |
| 1255763090 | Tania Murry | Physical Therapy Assistant | 5333 N Sheridan Rd, Chicago, IL 60640-7371 | 2013-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
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| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1164022588 | Mary Kate Zagotta | Speech-Language Pathologist | 555 W Kinzie St Apt 1608, Chicago, IL 60654-5847 | 2020-10-26 |
| 1134727134 | Madison Frazier | Speech-Language Pathologist | 1221 N Dearborn St Apt 1206n, Chicago, IL 60610-8377 | 2020-10-12 |
| 1336746809 | Karen M Olson | Speech-Language Pathologist | 4506 N Ashland Ave Apt 1s, Chicago, IL 60640-5445 | 2020-10-07 |
| 1609483072 | Claire Elaine Rayburn | Speech-Language Pathologist | 2142 W Walton St Apt 2, Chicago, IL 60622-4893 | 2020-09-29 |
| 1144837840 | Paige Avery Cianciolo | Speech-Language Pathologist | 1700 W 83rd St, Chicago, IL 60620-4621 | 2020-09-26 |
| 1558975565 | Leela A Rao | Speech-Language Pathologist | 1140 S Wabash Ave Apt 1609, Chicago, IL 60605-2330 | 2020-09-08 |
| 1457960155 | Anant Kaur Shergill | Speech-Language Pathologist | 3729 N Oakley Ave Unit 1, Chicago, IL 60618-4812 | 2020-07-28 |
| 1689283608 | Jamie Lynn Payne | Speech-Language Pathologist | 600 W Roosevelt Rd Ste 2e, Chicago, IL 60607-4912 | 2020-07-26 |
| 1144839242 | Shana Birger | Speech-Language Pathologist | 942 W Sheridan Rd Apt 3a, Chicago, IL 60613-6487 | 2020-07-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.