Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Issac Pedro Domenech-Gonzalez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033851951

Issac Pedro Domenech-Gonzalez is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

251 E Huron St
Chicago, IL 60611-2908
Phone: (502) 298-1310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 125082944 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033851951
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 11, 2022
Last updated in NPPESAugust 18, 2023
Certification dateJuly 12, 2023

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