Individual provider · Type 1 NPI

Sandra Elizabeth Dominguez, NP

Family Nurse Practitioner · Maywood, IL

NPI number 1750043071 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	209023847 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1750043071

Sandra Elizabeth Dominguez, NP's National Provider Identifier is 1750043071, issued on Oct 13, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maywood, IL. The record was last updated on May 19, 2022.