# DOMINGUEZ DEVELOPMENT GROUP INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nurse Next Door- La Grange
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881344281
- **Authorized official:** MRS. JACQUELINE HERMENCIA DOMINGUEZ RN, BSN (CO-OWNER/ADMINISTRATOR)
- **Authorized official phone:** (708) 244-9225

## Contact information

- **Practice address:** 72 S LA GRANGE RD STE 9, LA GRANGE, IL 60525-6318
- **Practice address phone:** (708) 832-4042
- **Practice address fax:** (708) 854-6038
- **Mailing address:** 72 S LA GRANGE RD STE 9, LA GRANGE, IL 60525-6318
- **Mailing address phone:** (708) 832-4042
- **Mailing address fax:** (708) 854-6038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/28/2022
- **Last updated:** 03/28/2022