Search › Illinois › 172A00000X
Domanique Ladd
NPI 1437698032 · on the registry since 2017
Practice
- Address
- 87 Fir St
Park Forest, IL 60466 - Phone
- (708) 830-5320
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Also registered as
- 174400000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-15
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