Individual
DR. BENITA S. KIAMCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
261 MONTCLARE LN, WOOD DALE, IL 60191-2227
(630) 860-2365
(630) 860-2365
Mailing address
261 MONTCLARE LN, WOOD DALE, IL 60191-2227
(630) 860-2365
(630) 860-2365
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.0455550
IL
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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