Eaves, Dominique

Eaves, Dominique is an individual health care provider with primary practice located at 5331 W 79Th St , Burbank IL 60459. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Eaves, Dominique can be contacted via phone (708) 422-5977.

Contact Information

Primary practice address
5331 W 79Th St Burbank IL 60459
Phone: (708) 422-5977
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209017463 Illinois

Profile Details

NPI number 1659860781
LBN Legal business name Eaves, Dominique
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2018
Last updated Jun 4th, 2018 - about 8 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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