person
Mariane Domingo, FNP-BC
Family Nurse Practitioner in Chicago, Illinois
NPI 1063932184

Mariane Domingo is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Mariane Domingo practices in Chicago, IL and has the professional credentials of FNP-BC. The NPI Number for Mariane Domingo is 1063932184 and holds a License No. 209016077 (Illinois).

The current practice location address for Mariane Domingo is 3134 N Clark St, Chicago, IL and can be reached out via phone at 773-766-1949 and via fax at 773-766-4908.

Location: 3134 N Clark St, Chicago, IL, 60673-1293
person
Provider Profile Details
NPI Number
1063932184
Provider Name
Mariane Domingo
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3134 N Clark St, Chicago, IL, 60673-1293
Phone Number
773-766-1949
Fax Number
773-766-4908
Provider Enumeration Date
06/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3134 N Clark St
City
State
Zip
60657-4414
Phone Number
773-766-1949
Fax Number
773-766-4908
person
Provider Business Mailing Address Details
Address
3134 N Clark St
City
State
Zip
60657-4414
Phone Number
773-766-1949
Fax Number
773-766-4908
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209016077 (Illinois)
Definition
Definition to come...
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