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Kathryn Marie Dominick, DO
Obstetrics & Gynecology Physician in Shiloh, Illinois
NPI 1437640901

Kathryn Marie Dominick is a Obstetrics & Gynecology Physician based in Kalamazoo, IL. Kathryn Marie Dominick practices in Shiloh, IL and has the professional credentials of DO. The NPI Number for Kathryn Marie Dominick is 1437640901 and holds a License No. 5151011654 (Illinois).

The current practice location address for Kathryn Marie Dominick is 1170 Fortune Blvd, Shiloh, IL and can be reached out via phone at 618-997-5266 and via fax at 618-997-5285.

Location: 1170 Fortune Blvd, Shiloh, IL, 49008-1282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437640901
Provider Name
Kathryn Marie Dominick
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1170 Fortune Blvd, Shiloh, IL, 49008-1282
Phone Number
618-997-5266
Fax Number
618-997-5285
Provider Enumeration Date
05/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1170 Fortune Blvd
City
Shiloh
State
Illinois
Zip
62269-7358
Phone Number
618-997-5266
Fax Number
618-997-5285
person
Provider Business Mailing Address Details
Address
1170 Fortune Blvd
City
Shiloh
State
Illinois
Zip
62269-7358
Phone Number
618-997-5266
Fax Number
618-997-5285
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
036161559 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5151011654 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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