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Contact Information

JODY DOMBECK
421 W EXCHANGE ST
FREEPORT, IL61032
 Phone: 815-599-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for JODY DOMBECK · (Male)

NPI Number 1376095208
Status Active
Credentials
Entity Individual
Enumeration date 10/26/2016
Last updated 05/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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