Dr. Zachary Beck Domont
Sports Medicine Orthopaedic Surgeon
100 Village Grn Ste 120
Lincolnshire
, Illinois 60069-3095
Dr. Zachary Beck Domont
Sports Medicine Orthopaedic Surgeon
100 Village Grn Ste 120
Lincolnshire
, Illinois 60069-3095
(847) 634-1766
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Zachary Beck Domont
- 100 Village Grn Ste 120
- Lincolnshire, IL
- Zip : 60069-3095
- Phone : (847) 634-1766
Second Address
- Dr. Zachary Beck Domont
- 100 Village Grn Ste 120
- Lincolnshire, IL
- Zip : 60069-3095
- Phone : (847) 634-1766
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 036-138355 | IL |
National Provider Identifier
| NPI | 1194952945 |
|---|---|
| Provider Name | Dr. Zachary Beck Domont |
| First Address | Lincolnshire, IL 60069-3095 |
| Second Address | Lincolnshire, IL 60069-3095 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2009 |
| Last Update Date | 24/08/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.