Dominguez, Stefanie M

Dominguez, Stefanie M is an individual health care provider with primary practice located at 9638 S Roberts Rd Unit B36, Hickory Hills IL 60457-2238. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dominguez, Stefanie M can be contacted via phone (708) 237-4270.

Contact Information

Primary practice address
9638 S Roberts Rd Unit B36 Hickory Hills IL 60457-2238
Phone: (708) 237-4270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070018597 Illinois

Profile Details

NPI number 1164700274
LBN Legal business name Dominguez, Stefanie M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2011
Last updated Apr 26th, 2012 - about 14 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1164700274 NPPES
Illinois Other P01014346 MCRR

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