Provider Demographics
NPI:1588964803
Name:PIOTROWSKA, DOMINIKA A (DN)
Entity type:Individual
Prefix:
First Name:DOMINIKA
Middle Name:A
Last Name:PIOTROWSKA
Suffix:
Gender:F
Credentials:DN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-1256
Mailing Address - Country:US
Mailing Address - Phone:312-226-3800
Mailing Address - Fax:
Practice Address - Street 1:805 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-1256
Practice Address - Country:US
Practice Address - Phone:312-226-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL181.000366172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172P00000XOther Service ProvidersNaprapath