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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE C D'SOUZA, MD

Active

DOMINIQUE C D'SOUZA, MD is a Family Medicine healthcare provider located in O FALLON, Illinois. NPI 1861078206 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · O FALLON, IL

Registration Details

NPI Number
1861078206
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2021 (5.3645676408423 yrs)
Last Updated
Aug 8, 2024
Licenses
036.169372 (IL)
036169372 (IL)
036169372 (IL)

Practice Information

Address
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL, 622691284
Browse IL providers · Browse ZIP 62269
Phone
6182337880
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Internal Medicine
Additional Specialty
Hospitalist

Other Family Medicine Providers in O FALLON, IL

Name Credential NPI
DR. KEVIN L PRITCHETT M.D. 1174522197
DORRIE C TREDWAY MD 1891787040
DAVID ALLEN MCCARTHY MD 1346242799
SCOTT F MORRISON MD 1508858713
DR. JAMES LEON JABLONSKI II M.D. 1194712513
DR. JACOB C. MARSHALL JR. M.D. 1922081249
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.