Individual
DOMINIQUE SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
331 S MAIN ST, VIRGINIA, IL 62691-1519
(217) 452-3057
(217) 452-7245
Mailing address
331 S MAIN ST, VIRGINIA, IL 62691-1519
(217) 452-3057
(217) 452-7245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036128630
IL
Other
Enumeration date
06/30/2008
Last updated
08/18/2016
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