Individual
MRS. NATALIE NICOLE DOMEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6560 W HIGGINS AVE, CHICAGO, IL 60656-2161
(773) 775-0300
Mailing address
6560 W HIGGINS AVE, CHICAGO, IL 60656-2161
(773) 775-0300
(773) 775-0883
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005609
IL
Other
Enumeration date
06/11/2012
Last updated
08/19/2015
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