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Dr. Bessie Smithers Dominguez, MD
General Practice Physician in Chicago, Illinois
NPI 1073627634

Bessie Smithers Dominguez is a General Practice Physician based in Chicago, IL. Bessie Smithers Dominguez practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Bessie Smithers Dominguez is 1073627634 and holds a License No. 036058438 (Illinois).

The current practice location address for Bessie Smithers Dominguez is 5159 W Fullerton Ave, Chicago, IL and can be reached out via phone at 773-637-6623 and via fax at 773-637-6622.

Location: 5159 W Fullerton Ave, Chicago, IL, 60639-2408
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Provider Profile Details
NPI Number
1073627634
Provider Name
Bessie Smithers Dominguez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5159 W Fullerton Ave, Chicago, IL, 60639-2408
Phone Number
773-637-6623
Fax Number
773-637-6622
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
316-01173 01 IL BC/BC PN
156321253824 01 IL HUMANA PN
036058438 05 IL
0000516 01 IL UNICARE PN
0100289 01 IL UHC PN
institution
Provider Business Practice Location Address Details
Address
5159 W Fullerton Ave
City
State
Zip
60639-2403
Phone Number
773-637-6623
Fax Number
773-637-6622
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Provider Business Mailing Address Details
Address
5159 W Fullerton Ave
City
State
Zip
60639-2403
Phone Number
773-637-6623
Fax Number
773-637-6622
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
036-058438 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
036058438 (Illinois)
Definition
Definition to come...
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