Search › Illinois › 1223G0001X
Edward Domina, DDS
NPI 1639290315 · on the registry since 2007
Practice
- Address
- 8651 West 159th Street
Suite 1
Orland Pk, IL 60462 - Phone
- (708) 429-0900
- Fax
- (708) 460-8096
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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