Individual
MA. LOURDES DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
829 CARILLON DR, BARTLETT, IL 60103-5300
(630) 483-3921
Mailing address
146 SYCAMORE AVE, STREAMWOOD, IL 60107-3158
(630) 855-8222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.289581
IL
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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