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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

NPI # 1659228922
LBN Legal business name DOMCZEWSKI BEHAVIORAL MEDICINE AND CONSULTATION PLLC
Authorized official OLIVIA DOMCZEWSKI - (OWNER, CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2026
Last updated 03/14/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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