institution
M Dominguez Jr Md Sc
Primary Care Clinic/Center in Chicago, Illinois
NPI 1609056795

M Dominguez Jr Md Sc is a Primary Care Clinic/Center based in Chicago, IL and is specialized in Primary Care. M Dominguez Jr Md Sc practices in Chicago, IL. The NPI Number for M Dominguez Jr Md Sc is 1609056795 and holds a License No. (Illinois).

The current practice location address for M Dominguez Jr Md Sc is 1431 N Western Ave, Chicago, IL and can be reached out via phone at 773-770-3409 and via fax at 773-770-3418.

Location: 1431 N Western Ave, Chicago, IL, 60622-1797
institution
Provider Profile Details
NPI Number
1609056795
Provider Name
M Dominguez Jr Md Sc
Credential
Provider Entity Type
Organization
Address
1431 N Western Ave, Chicago, IL, 60622-1797
Phone Number
773-770-3409
Fax Number
773-770-3418
Provider Enumeration Date
11/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1431 N Western Ave
City
State
Zip
60622-1797
Phone Number
773-770-3409
Fax Number
773-770-3418
person
Provider Business Mailing Address Details
Address
1431 N Western Ave
City
State
Zip
60622-1797
Phone Number
773-770-3409
Fax Number
773-770-3418
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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