Dominguez, Christopher
Dominguez, Christopher is an sole proprietor health care provider with primary practice located at 1701 W Superior St , Chicago IL 60622-5646. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Dominguez, Christopher can be contacted via phone (312) 666-3494.Contact Information
Primary practice address
1701 W Superior St
Chicago IL 60622-5646
Phone: (312) 666-3494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 37399 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.025775 | Illinois |
Profile Details
| NPI number | 1831803444 |
|---|---|
| LBN Legal business name | Dominguez, Christopher |
| Credentials | LICENSED SOCIAL WORK |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2023 |
| Last updated | May 16th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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