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Ms. Domanique L Ladd
Specialist in Park Forest, Illinois
NPI 1437698032

Domanique L Ladd is a Specialist based in Park Forest, IL. Domanique L Ladd practices in Park Forest, IL. The NPI Number for Domanique L Ladd is 1437698032 and holds a License No. (Illinois).

The current practice location address for Domanique L Ladd is 87 Fir St, Park Forest, IL and can be reached out via phone at 708-830-5320. You can also correspond with Domanique L Ladd through the mailing address at 87 FIR ST, PARK FOREST, IL - 60466-1706 (mailing address contact number: 708-830-5320).

Location: 87 Fir St, Park Forest, IL, 60466-1706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437698032
Provider Name
Domanique L Ladd
Credential
Provider Entity Type
Individual
Gender
Female
Address
87 Fir St, Park Forest, IL, 60466-1706
Phone Number
708-830-5320
Fax Number
Provider Enumeration Date
02/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
87 Fir St
City
Park Forest
State
Illinois
Zip
60466-1706
Phone Number
708-830-5320
Fax Number
person
Provider Business Mailing Address Details
Address
87 Fir St
City
Park Forest
State
Illinois
Zip
60466-1706
Phone Number
708-830-5320
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
(Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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