DOMINIQUE SMITH

CHICAGO, IL
NPI1437606209
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209014603)
Enumeration Date2016-09-08
Last Update Date2016-09-08
Business Address
-- DOMINIQUE SMITH NP
175 W JACKSON BLVD 1750
CHICAGO, IL 60604-2615
Phone number: 312-548-2004
Mailing Address
-- DOMINIQUE SMITH NP
175 W JACKSON BLVD 1750
CHICAGO, IL 60604-2615
Phone number: