Individual
DOMINIQUE SPILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4821 W 103RD ST, OAK LAWN, IL 60453-3955
(312) 508-2824
Mailing address
4821 W 103RD ST, OAK LAWN, IL 60453-3955
(312) 508-2824
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
04/13/2023
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