Kathleen Marie Dominguez in Urbana - Pediatric Surgery
Kathleen Marie Dominguez - NPI 1285764886
Kathleen Marie Dominguez is a Pediatric Surgery in Urbana, Illinois. Kathleen Marie Dominguez practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Kathleen Marie Dominguez is 1285764886. The last update date is 2019-07-30.
Kathleen Marie Dominguez's current location address is 611 W Park St, Urbana, Illinois. You can contact this provider via phone number 2173833100 and fax number 2173834468. The mailing address for Kathleen Marie Dominguez is 611 W Park St, Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Marie Dominguez |
|---|---|
| Address | 611 W Park St, Urbana, Illinois |
| Phone Number | 2173833100 |
| Fax Number | 2173834468 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285764886 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2019-07-30 |
Provider Mailing Address Detail
| Address | 611 W Park St |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618012529 |
| Phone Number | 2173833100 |
| Fax Number | 2173834468 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 57264 |
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Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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What is the unique 10-digit identifier code issued to Kathleen Marie Dominguez by the Centers for Medicare & Medicaid Services?
The Kathleen Marie Dominguez has been assigned the NPI (National Provider Identifier) 1285764886 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kathleen Marie Dominguez's facilities are geographically located?
The facilities of Kathleen Marie Dominguez are physically situated at the following location: 611 W Park St, Urbana, IL, 618012529.
What is Kathleen Marie Dominguez's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kathleen Marie Dominguez's specialized field of practice is Pediatric Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0120X.
When was the Kathleen Marie Dominguez's 1285764886 issued?
The Kathleen Marie Dominguez's 1285764886 was issued on 2007-03-06.
When was the information regarding Kathleen Marie Dominguez, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kathleen Marie Dominguez, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-07-30.
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