Organization
CHICAGO REGENERATIVE MEDICAL CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT DOMINGO DC (CEO)
(773) 562-2632
Entity
Organization
Contact information
Practice address
4149 W 26TH ST, CHICAGO, IL 60623-4314
(877) 542-1110
Mailing address
4149 W 26TH ST, CHICAGO, IL 60623-4314
(773) 562-2632
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
05/26/2020
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