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Amanda Dominguez
NPI 1003589359 · on the registry since 2021
Practice
- Address
- 5626 N Ridge Ave
Chicago, IL 60660 - Phone
- (773) 989-7546
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois