MRS. Dominique Claiborne

NPI #1578257218 in Matteson, Illinois

Provider Information

NPI Number: 1578257218
Entity Type: Individual
Name: MRS. Dominique Claiborne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 6, 2023
Last Updated: Jun 6, 2023

Practice Location

Address: 600 HOLIDAY PLAZA DR STE 170
City: Matteson
State: Illinois
ZIP Code: 60443-2236
Phone: (708) 248-6305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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