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DR. BESSIE SMITHERS DOMINGUEZ M.D.
NPI 1073627634
General Practice in Chicago, IL

Active since August 19, 2006
5159 W FULLERTON AVE, CHICAGO, IL 60639(773) 637-6623(773) 637-6622 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bessie Smithers Dominguez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BESSIE SMITHERS DOMINGUEZ M.D. (NPI 1073627634) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (036-058438) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1073627634
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. BESSIE SMITHERS DOMINGUEZCredential: M.D.
Location Address5159 W FULLERTON AVEChicago, IL 60639-2403
Mailing Address5159 W. Fullerton AvenueChicago, IL 60639-2408 · (773) 637-6622 · Fax (773) 637-6622
Phone(773) 637-6623
Fax(773) 637-6622
Sole ProprietorYes
Enumeration DateAugust 19, 2006
Last NPPES UpdateJanuary 20, 2009
✔ NPI 1073627634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036-058438
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036058438 (IL)
5159 W FULLERTON AVE, Chicago, IL 60639
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Other Identifiers 8

Other0100289IL · Uhc Pn
Medicare UPINC45511IL
Other316-01173IL · Bc/bc Pn
Medicaid036058438IL
Other156321253824IL · Humana Pn
Other0000516IL · Unicare Pn
Medicare UPIN679780IL
Medicare PIN679780IL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL OMALLEY O.D
Optometrist
5159 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 208-4125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bessie Dominguez's NPI number?

The NPI number for Bessie Dominguez is 1073627634. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Bessie Dominguez located?

Bessie Dominguez practices at 5159 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 637-6623.

What is Bessie Dominguez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Bessie Dominguez was last updated on January 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.