Individual
DOMINIQUE DICAPUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4703 N ANTHON AVE, CHICAGO, IL 60656-4221
(773) 573-8330
Mailing address
4703 N ANTHON AVE, CHICAGO, IL 60656-4221
(773) 573-8330
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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