Individual provider · Type 1 NPI

Bessie Smithers Dominguez, MD

General Practice Physician · Chicago, IL

NPI number 1073627634 Active

Practice location

5159 W Fullerton Ave
Chicago, IL 60639-2403

Call (773) 637-6623 Map

Fax (773) 637-6622

Mailing address

5159 W. Fullerton Avenue
Chicago, IL 60639-2408

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X036058438 (IL)
General Practice Physician Primary 208D00000X036-058438 (IL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1073627634

Bessie Smithers Dominguez, MD's National Provider Identifier is 1073627634, issued on Aug 19, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 20, 2009.