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Contact Information

DOMCZEWSKI BEHAVIORAL MEDICINE AND CONSULTATION PLLC
5877 S BRADLEY CT
HANOVER PARK, IL60133-5207
 Phone: 224-500-0153
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DOMCZEWSKI BEHAVIORAL MEDICINE AND CONSULTATION PLLC · (Female)

NPI Number 1659228922
Status Active
Credentials
Entity Individual
Enumeration date 03/14/2026
Last updated 03/14/2026 - About 3 months ago
Sole proprietor 1 Not specified
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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