Individual
DORETHA DORDAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6246
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041278763
IL
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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