Individual
DR. RENEE Z. DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8949 S STONY ISLAND AVE, CHICAGO, IL 60617-2817
(773) 374-3748
(773) 374-6223
Mailing address
351 GREEN BAY RD, HIGHLAND PARK, IL 60035-5118
(847) 926-0113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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