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DEADRE L DOMER RN
NPI 1760065577
Registered Nurse - Maternal Newborn in Harvey, IL

Active since April 29, 2021
31 W 155TH ST, HARVEY, IL 60426(708) 596-5177 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2021, Apr 29, 2021 (2 updates tracked since 2021).

About Deadre L Domer Rn NPPES

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

DEADRE L DOMER RN (NPI 1760065577) is an individual maternal newborn provider in Harvey, Illinois, licensed in Illinois (041278524) and active in the NPI registry since April 2021. She maintains a secondary practice location in Harvey.

NPPES Registry Identity

NPI1760065577
Entity TypeIndividualFemale
Primary Taxonomy163WM0102X
Provider Legal NameDEADRE L DOMERCredential: RN
Location Address31 W 155TH STHarvey, IL 60426-3556
Mailing Address31 W 155th StHarvey, IL 60426-3556 · (708) 596-5177
Phone(708) 596-5177
Sole ProprietorNo
Enumeration DateApril 29, 2021
Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
✔ NPI 1760065577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Maternal NewbornNursing Service Providers
Taxonomy Code163WM0102X
License✔ Licensed in IL · 041278524
Also ListedRegistered Nurse · Lactation ConsultantTaxonomy 163WL0100X · License 041278524 (IL)
31 W 155TH ST, Harvey, IL 60426
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Secondary Practice Location 1

Location 115620 Wood StHarvey, IL 60426-4171 · Phone (708) 596-5177 · Fax (708) 596-5518

Other Identifiers 1

Other041278524IL · State Of Illinois

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.

DR. LISA K WRIGHT M.D.
Pediatrics
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
DR. SHELLY T DIXON M.D.
Pediatrics
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
MEDCENTRIX INC
Pharmacy (Community/Retail Pharmacy)
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 589-2019
JENNIFER TAYLOR MD
Family Medicine
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
MEDCENTRIX INC
Pharmacy (Community/Retail Pharmacy)
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 589-2019
GRAND PRAIRIE SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 444-1012
FAMILY CHRISTIAN PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 589-2019
FAMILY CHRISTIAN HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 339-5526

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 Deadre Domer's NPI number?

The NPI number for Deadre Domer is 1760065577. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Deadre Domer located?

Deadre Domer practices at 31 W 155th St, Harvey, IL 60426. The listed phone number is (708) 596-5177.

What is Deadre Domer's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Maternal Newborn, with taxonomy code 163WM0102X.

When was this NPI record last updated?

The NPPES record for Deadre Domer was last updated on July 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.