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Domynique Jazmen Smith

NPI 1528947868 · on the registry since 2025

Practice

Address
Po Box 2288
Calumet City, IL 60409
Phone
(773) 457-1990

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-30

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