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Individual

BRIYANA TEAGUE DOMJAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2210 W 95TH ST, CHICAGO, IL 60643-1002
(773) 341-3500
(773) 341-6064
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.176.193
IL

Other

Enumeration date
03/25/2022
Last updated
04/23/2026
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