| Doctor Name: | DOROTA J DOMANSKI ERDMAN |
| NPI Number: | 1033206636 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 071006002 |
| Business Practice Address: | 6677 N Lincoln Ave Ste 232b Lincolnwood, IL - 607123619 |
| Business Phone Number: | 8473944174 |
| Business Fax Number: | 8473944176 |
| Mailing Address: | 3375 N Arlington Heights Rd, Suite K ARLINGTON HEIGHTS |
| State: | IL |
| Postal Code: | 600047701 |
| Phone Number: | 8473944174 |
| Fax Number: | 8473944176 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 01/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071006002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |