Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn Marie Dominick, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1437640901

Kathryn Marie Dominick, DO is an Osteopathic Manipulative Medicine in Shiloh, Illinois. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2018, 8 years ago. Practices with Heartland Women's Healthcare Ltd, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
8
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
IL, MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1170 Fortune Blvd
Shiloh, IL 62269-7358
Phone: (618) 997-5266
Fax: (618) 997-5285
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Oakland Dr, Kalamazoo, MI 49008-1282 — (269) 337-4472

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 036161559 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5151011654 (MI)

Record details

NPI number1437640901
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 21, 2018
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOSTEOPATHIC MANIPULATIVE MEDICINE
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2018 (8 years in practice)
Group practice Heartland Women'S Healthcare Ltd — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shiloh