Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATHLEEN MARIE DOMINGUEZ, M.D.
ActiveDR. KATHLEEN MARIE DOMINGUEZ, M.D. is a Pediatric Surgery healthcare provider located in URBANA, Illinois. NPI 1285764886 is currently active in the NPPES registry. Verify at CMS.
Pediatric Surgery · URBANA, IL
Registration Details
- NPI Number
- 1285764886
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2007 (19.418986834021 yrs)
- Last Updated
- Oct 21, 2025
- Licenses
-
57264 (WI)036146280 (IL)036146280 (IL)036146280 (IL)
Practice Information
- Address
-
611 W PARK STURBANA, IL, 618012529Browse IL providers · Browse ZIP 61801
- Phone
- 2173833100
- Fax
- 2173834468
- Primary Specialty
-
Pediatric Surgery
2086S0120X
- Additional Specialty
- Pediatric Surgery
- Additional Specialty
- Surgical Critical Care
- Additional Specialty
- General Surgery
Other Pediatric Surgery Providers in URBANA, IL
| Name | Credential | NPI |
|---|---|---|
| EDWARD SHLASKO | M.D. | 1962417600 |
| SANDRA KABAGAMBE | MD | 1083977706 |
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.