Manuel Garcia Dominguez JR. M.D.

NPI 1437205671 - Family Medicine - 207Q00000X

NPI Details
NPI 1437205671
Gender Male
Enumeration Date 01/27/2007
Last Updated 09/23/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1431 N WESTERN AVE
SUITE 212
CHICAGO IL, 60622-1797, US
Phone (773) 770-3409
Fax (773) 770-3418
Business Location
1431 N WESTERN AVE
SUITE 212
CHICAGO IL, 60622-1797, US
Phone (773) 770-3409
Fax (773) 770-3418
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036087595
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According to our database, Dr. Manuel Garcia Dominguez JR. M.D. NPI is 1437205671, taxonomy code is 207Q00000X and license number is 036087595, license state is located at Illinois. Manuel Garcia Dominguez JR. M.D. physically located at 1431 N Western Ave, Chicago IL, 60622-1797. NPI Number Manuel Garcia Dominguez JR. M.D. has the Individual type.

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1437205671 NPI number is provided on an as is basis without warranty of any kind. 1437205671 is maintained by the National Plan & Provider Enumeration System. The contents of Manuel Garcia Dominguez JR. M.D. are for informational purposes only.