Individual
DR. DANIEL DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1515 SHERIDAN RD, WILMETTE, IL 60091-1822
(847) 251-6223
Mailing address
9624 ARMITAGE AVE, MELROSE PARK, IL 60164-2107
(847) 867-7526
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051305798
IL
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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