Individual
DOMINIQUE CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 W 103RD ST, OAK LAWN, IL 60453-4718
(331) 229-8839
Mailing address
2134 177TH ST, LANSING, IL 60438-1777
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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