Domke, Jill M

Domke, Jill M is an individual health care provider with primary practice located at 3021 N. Sheffield Ave , Chicago IL 60657. 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. Domke, Jill M can be contacted via phone (773) 296-7450.

Contact Information

Primary practice address
3021 N. Sheffield Ave Chicago IL 60657
Phone: (773) 296-7450
Fax: (773) 296-7370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070010318 Illinois

Profile Details

NPI number 1013023241
LBN Legal business name Domke, Jill M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Mar 9th, 2022 - about 4 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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