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Deadre L Domer, RN
Maternal Newborn Registered Nurse in Harvey, Illinois
NPI 1760065577

Deadre L Domer is a Maternal Newborn Registered Nurse based in Harvey, IL and is specialized in Maternal Newborn. Deadre L Domer practices in Harvey, IL and has the professional credentials of RN. The NPI Number for Deadre L Domer is 1760065577 and holds a License No. 041278524 (Illinois).

The current practice location address for Deadre L Domer is 31 W 155Th St, Harvey, IL and can be reached out via phone at 708-596-5177.

Location: 31 W 155Th St, Harvey, IL, 60426-3556
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Provider Profile Details
NPI Number
1760065577
Provider Name
Deadre L Domer
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
31 W 155Th St, Harvey, IL, 60426-3556
Phone Number
708-596-5177
Fax Number
Provider Enumeration Date
04/29/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041278524 01 IL STATE OF ILLINOIS
institution
Provider Business Practice Location Address Details
Address
31 W 155Th St
City
State
Zip
60426-3556
Phone Number
708-596-5177
Fax Number
person
Provider Business Mailing Address Details
Address
31 W 155Th St
City
State
Zip
60426-3556
Phone Number
708-596-5177
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Lactation Consultant
Taxonomy
License No.
041278524 (Illinois)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Maternal Newborn
Taxonomy
License No.
041278524 (Illinois)
Definition
Definition to come...
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