Individual
TETYANA DOMANCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4860 OAKTON ST, SKOKIE, IL 60077-2953
(847) 329-0470
Mailing address
690 BRIGHTON PL, WHEELING, IL 60090-2626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.032799
IL
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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