Dr. Amanda Nicole Dominguez
Dr. Amanda Nicole Dominguez is a Pharmacist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
5626 N Ridge AveChicago, IL 60660-3483
Phone: (773) 989-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 051.304064 (IL) |
|---|
Record details
| NPI number | 1003589359 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 30, 2021 |
| Last updated in NPPES | July 30, 2021 |
| Certification date | July 30, 2021 |
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