MEDICARE: ZETA VISITING PHYSICIAN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1043042484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZETA VISITING PHYSICIAN LLC

Provider Business Mailing Address
First Line	:	2405 BIG WOODS DR
Second Line	:
City	:	BATAVIA
State	:	IL
Zip	:	60510-7650
Country	:	US
Telephone Number	:	847-508-9999
Fax Number	:	224-526-5167

Provider Business Practice Location Address
First Line	:	2405 BIG WOODS DR
Second Line	:
City	:	BATAVIA
State	:	IL
Zip	:	60510-7650
Country	:	US
Telephone Number	:	847-508-9999
Fax Number	:	224-526-5167

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	CARLO DOMINGO
Credential	:	NP
Telephone Number	:	567-224-0949

Provider Enumeration Date	:	08/15/2024
Last Update Date	:	08/15/2024

Similar Medicare Providers

1770587693 — DR. EVILLO M DOMINGO MD
Practice Location Address:

2405 BIG WOODS DR
BATAVIA, IL
60510-7650

Practice Phone: 630-277-9651
Practice Fax:

1396575585 — ZIGMA HOME PHYSICIAN LLC
Practice Location Address:

2405 BIG WOODS DR
BATAVIA, IL
60510-7650

Practice Phone: 567-884-0854
Practice Fax: 224-526-5167

1447077219 — JANUARY AYSON IMBUIDO NURSE PRACTITIONER
Practice Location Address:

2405 BIG WOODS DR
BATAVIA, IL
60510-7650

Practice Phone: 630-277-9651
Practice Fax: 847-972-6265

1568228617 — VAUGHAN PREHAB PLLC
Practice Location Address:

1615 HART RD
BATAVIA, IL
60510-9316

Practice Phone: 815-593-6633
Practice Fax:

1801896006 — RACHEL MEREDITH MURRAY PHARMD
Practice Location Address:

801 N RANDALL RD
BATAVIA, IL
60510-1992

Practice Phone: 630-879-6812
Practice Fax:

1255332441 — DR. CHARLES K ATWELL O.D.
Practice Location Address:

2010 W WILSON ST
BATAVIA, IL
60510-9482

Practice Phone: 630-406-0606
Practice Fax: 630-406-0996

Directions to “ZETA VISITING PHYSICIAN LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.