M DOMINGUEZ JR MD SC is a primary care clinic center in Chicago, IL. M DOMINGUEZ JR MD SC NPI is 1609056795. The provider is registered as an organization entity type.
The provider's business location address is:
1431 N WESTERN AVE
SUITE 212
CHICAGO, IL
ZIP 60622-797
Phone: (773) 770-3409
Fax: (773) 770-3418
The provider's authorized official is Manuel Garcia Dominguez .
The authorized official title is President and has the following contact phone number (773) 770-3409.
The enumeration date for this NPI number is 11/6/2007 and was last updated on 11/6/2007.