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1154002657
NATALIE DOMACK
SCHAUMBURG, IL
NPI
1154002657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 041464873)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
NATALIE DOMACK
1901 N ROSELLE RD STE 800
SCHAUMBURG, IL 60195-3186
Phone number: 443-383-3000
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Mailing Address
NATALIE DOMACK
909 RIDGEBROOK RD STE 300
SPARKS, MD 21152-9477
Phone number: 443-383-9300
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