Organization
KAMINSKA DERMATOLOGY
Active
Other names
Kaminska Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDIDIONG KAMINSKA MD (PRESIDENT)
(901) 907-9820
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST STE 724, CHICAGO, IL 60657-5196
(708) 628-7771
Mailing address
1776 N MILWAUKEE AVE, CHICAGO, IL 60647-5453
(312) 926-3627
(773) 862-1454
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407083496
INDIVIDUAL NPI
—
Enumeration date
07/02/2019
Last updated
09/02/2019
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