IndividualActive
Amanda Dominguez
NPI 1003589359 · Pharmacist · Chicago, IL
Amanda Dominguez is a Pharmacist provider in Chicago, IL (NPI 1003589359).
Provider details
- NPI number
- 1003589359
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 051.304064 (IL)
Practice location
5626 N Ridge Ave
Chicago, IL 60660-3483
Phone: (773) 989-7546
Street-level locationGet directions
Mailing address
5626 N Ridge Ave
Chicago, IL 60660-3483
Registry dates
- Enumerated
- 2021-07-30
- Last updated
- 2021-07-30
- Certified
- 2021-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.