CARMINA AMOR TAN DOMINGO

AURORA, IL
NPI1245526268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology Neurology
(Licence: IL  036-159001)
Additional Taxonomies2084N0400X Psychiatry & Neurology Neurology
(Licence: VA  0102203419)
Enumeration Date2011-06-28
Last Update Date2023-08-07
Business Address
CARMINA AMOR TAN DOMINGO D.O.
4205 WESTBROOK DR
AURORA, IL 60504-4124
Phone number: 630-961-4150
Mailing Address
CARMINA AMOR TAN DOMINGO D.O.
PO BOX 713260
CHICAGO, IL 60677-1260
Phone number: 630-469-9200