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Individual

DOMINIQUE GAMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC

Contact information

Practice address
1010 EXECUTIVE DR STE 250, WESTMONT, IL 60559-6137
(630) 920-2350
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-516035
IL
363L00000X
Nurse Practitioner
Primary
209-024211
IL
363LF0000X
Family Nurse Practitioner
11009808
FL

Other

Enumeration date
10/21/2020
Last updated
04/06/2022
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