Individual
DR. DOMINIC PALLIPARAMBIL ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5536
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5536
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
03/23/2026
Last updated
04/06/2026
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