Domczewski, Olivia
Domczewski, Olivia is an individual health care provider with primary practice located at 2340 S Highland Ave Ste 210 , Lombard IL 60148-7132. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Domczewski, Olivia can be contacted via phone (815) 416-6725.Contact Information
Primary practice address
2340 S Highland Ave Ste 210
Lombard IL 60148-7132
Phone: (815) 416-6725
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071009871 | Illinois |
Profile Details
| NPI number | 1164997490 |
|---|---|
| LBN Legal business name | Domczewski, Olivia |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2018 |
| Last updated | May 24th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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