BESSIE SMITHERS DOMINGUEZ

CHICAGO, IL
NPI1073627634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: IL  036-058438)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IL  036058438)
Enumeration Date2006-08-19
Last Update Date2009-01-20
Business Address
Dr. BESSIE SMITHERS DOMINGUEZ M.D.
5159 W FULLERTON AVE
CHICAGO, IL 60639-2403
Phone number: 773-637-6623
Mailing Address
Dr. BESSIE SMITHERS DOMINGUEZ M.D.
5159 W. FULLERTON AVENUE
CHICAGO, IL 60639-2408
Phone number: 773-637-6622