Individual
MISS DOMINIQUE DEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1365 N. HUDSON ST., APT.594, CHICAGO, IL 60610-5828
(312) 513-6525
Mailing address
1365 N. HUDSON ST., APT.594, CHICAGO, IL 60610-5828
(312) 513-6525
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
0564-1436
IL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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