MRS. Dominno Caroline Fogle, M.M.S., PA-C is a medical physician assistant in Normal, IL. MRS. Dominno Caroline Fogle, M.M.S., PA-C NPI is 1255615365. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1300 FRANKLIN AVE
SUITE 100
NORMAL, IL
ZIP 61761-592
Phone: (309) 268-3761
The NPI 1255615365 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/7/2011 and was last updated on 9/12/2012.