Individual
MR. ALEJANDRO JAVIER NIETO DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 W. HARRISON, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
1922 W. OGDEN AVE, UNIT 0714, CHICAGO, IL 60612
(312) 826-3254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125079892
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2022
Last updated
09/29/2022
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