Most Relevant Information
Provider Data
NPI Number: | 1003375981 |
Provider Name: | DOMINIKA ANNE WINIARSKI PHD |
Entity Type: | Individual |
Taxonomy Code: | 103TC0700X |
Specialty: | Psychologist |
License Number: | 071009931 |
Most Important Dates
Enumeration Date: | 03/19/2019 |
Last Updated: | 03/22/2019 |
Provider Practice Location
2150 W HARRISON ST
CHICAGO
IL
606123706
Practice Location Phone/Fax
Phone: | 3125639016 |
Fax: |
Provider Mailing Location
2150 W HARRISON ST
CHICAGO
IL
606123706
Provider Mailing Phone/Fax
Phone: | |
Fax: |