M Dominguez Jr MD SC
M Dominguez Jr MD SC is a Primary Care Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
1431 N Western Ave Ste 212Chicago, IL 60622-1797
Phone: (773) 770-3409
Fax: (773) 770-3418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X (IL) |
|---|
Record details
| NPI number | 1609056795 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Manuel Dominguez — President · (773) 770-3409 |
| NPI enumerated | November 6, 2007 |
| Last updated in NPPES | November 6, 2007 |
| Mailing address | 1431 N Western Ave, Suite 212, Chicago, IL 60622-1797 |
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