M DOMINGUEZ JR MD SC
NPI 1609056795
Clinic/Center - Primary Care in Chicago, IL

Active since November 06, 2007
1431 N WESTERN AVE, SUITE 212, CHICAGO, IL 60622(773) 770-3409(773) 770-3418 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About M Dominguez Jr Md Sc NPPES

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

M DOMINGUEZ JR MD SC (NPI 1609056795) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since November 2007. The organization lists Manuel Garcia Dominguez, President, as its authorized official.

NPPES Registry Identity

NPI1609056795
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameM DOMINGUEZ JR MD SC
Location Address1431 N WESTERN AVE, SUITE 212Chicago, IL 60622-1797
Mailing Address1431 N Western Ave, Suite 212Chicago, IL 60622-1797 · (773) 770-3409 · Fax (773) 770-3418
Fax(773) 770-3418
Organization SubpartNo
Authorized OfficialManuel Garcia DominguezPresident · (773) 770-3409
Enumeration DateNovember 6, 2007
NPI 1609056795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1431 N WESTERN AVE, Chicago, IL 60622

Other Identifiers 1

Medicare PIN208970IL

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
1431 N WESTERN AVE
CHICAGO, IL 60622
Family Medicine
1431 N WESTERN AVE, SUITE 112
CHICAGO, IL 60622
Family Medicine
1431 N WESTERN AVE, 508
CHICAGO, IL 60622
Social Worker (Clinical)
1431 N WESTERN AVE, SUITE 504
CHICAGO, IL 60622
Family Medicine (Addiction Medicine)
1431 N WESTERN AVE, SUITE 205
CHICAGO, IL 60622
Pediatrics
1431 N WESTERN AVE, #101
CHICAGO, IL 60622
Pharmacist
1431 N WESTERN AVE
CHICAGO, IL 60622
Psychiatry & Neurology (Neurology)
1431 N WESTERN AVE, SUITE 306
CHICAGO, IL 60622

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 M Dominguez Jr MD Sc's NPI number?

The NPI number for M Dominguez Jr MD Sc is 1609056795. It was assigned to this organization in the NPPES registry on November 6, 2007.

Where is M Dominguez Jr MD Sc located?

M Dominguez Jr MD Sc is located at 1431 N Western Ave Suite 212, Chicago, IL 60622. The listed phone number is (773) 770-3409.

What is M Dominguez Jr MD Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for M Dominguez Jr MD Sc was last updated on November 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.