Dominguez, Stefanie M
Dominguez, Stefanie M is an individual health care provider with primary practice located at 9638 S Roberts Rd Unit B36, Hickory Hills IL 60457-2238. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dominguez, Stefanie M can be contacted via phone (708) 237-4270.Contact Information
Primary practice address
9638 S Roberts Rd Unit B36
Hickory Hills IL 60457-2238
Phone: (708) 237-4270
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070018597 | Illinois |
Profile Details
| NPI number | 1164700274 |
|---|---|
| LBN Legal business name | Dominguez, Stefanie M |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2011 |
| Last updated | Apr 26th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164700274 | NPPES |
| Illinois | Other | P01014346 | MCRR |
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