SearchIllinois103K00000X

Dominique Shorter

NPI 1114394921 · on the registry since 2015 · sole proprietor

Practice

Address
2195 W Cimarron Way
Addison, IL 60101
Phone
(708) 491-0114

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Female
Record last updated
2015-08-27

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