Individual
DR. ERNEST KAMINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
728 LEESLEY RD, RIVERSIDE, IL 60546-1718
(708) 442-6783
(708) 442-6783
Mailing address
728 LEESLEY RD, RIVERSIDE, IL 60546-1718
(708) 442-6783
(708) 442-6783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036069249
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036069249
STATE LICENSE
IL
Enumeration date
09/22/2008
Last updated
09/22/2008
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