M Dominguez Jr Md Sc

LBN: M Dominguez Jr Md Sc
M Dominguez Jr Md Sc is an health care organization with primary practice located at 1431 N Western Ave Suite 212, Chicago IL 60622-1797. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. M Dominguez Jr Md Sc can be contacted via phone (773) 770-3409, or through Dominguez, Manuel Garcia via phone (773) 770-3409.

Contact Information

Primary practice address
1431 N Western Ave Suite 212 Chicago IL 60622-1797
Phone: (773) 770-3409
Fax: (773) 770-3418
Website:
Map and Directions
Authorized official contact:
Name: Dominguez, Manuel Garcia Doctor of Medicine (MD)
Phone: (773) 770-3409

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Illinois

Profile Details

NPI number 1609056795
LBN Legal business name M Dominguez Jr Md Sc
DBA Doing business as
Authorized official Dominguez, Manuel Garcia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2007
Last updated Nov 6th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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