IndividualActive
Bessie Dominguez, M.D.
NPI 1073627634 · General Practice Physician · Chicago, IL
Provider details
- NPI number
- 1073627634
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036058438 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5159 W Fullerton Ave
Chicago, IL 60639-2403
Phone: (773) 637-6623
Fax: (773) 637-6622
Approximate (ZIP-level) locationGet directions
Mailing address
5159 W. Fullerton Avenue
Chicago, IL 60639-2408
Registry dates
- Enumerated
- 2006-08-19
- Last updated
- 2009-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.