Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rafael Roberto Dominguez, MD

Individual provider Pediatrics Physician · NPI 1104840073

Rafael Roberto Dominguez, MD is a Pediatrics Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1701 W Superior St
Chicago, IL 60622-5646
Phone: (312) 666-3494
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036112018 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036-112018 (IL)

Record details

NPI number1104840073
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021
Mailing address1321 W Hood Ave # 2, Chicago, IL 60660-2507

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