MICHELLE ANN DOMANCHUK

ELMHURST, IL
NPI1184665010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209-001363)
Enumeration Date2006-06-10
Last Update Date2008-08-22
Business Address
Mrs. MICHELLE ANN DOMANCHUK APN
110 E SCHILLER ST SUITE 318
ELMHURST, IL 60126-2858
Phone number: 630-832-1775
Mailing Address
Mrs. MICHELLE ANN DOMANCHUK APN
1107 ARLINGTON AVE
LA GRANGE, IL 60525-5811
Phone number: 708-354-0332
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