Provider Demographics
NPI:1376422105
Name:DOMBROWSKI, LINDSAY (PSYD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:DOMBROWSKI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 W FOSTER AVE APT 2S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-1219
Mailing Address - Country:US
Mailing Address - Phone:440-465-1890
Mailing Address - Fax:
Practice Address - Street 1:2110 W FOSTER AVE APT 2S
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-1219
Practice Address - Country:US
Practice Address - Phone:773-789-9915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.011258103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical