Individual
DR. EDIDIONG KAMINSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3808 N LINCOLN AVE, STE 101, CHICAGO, IL 60613-6065
(773) 677-4300
Mailing address
3024 N ASHLAND AVE UNIT 577452, CHICAGO, IL 60657-7783
(901) 907-9820
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.133070
IL
207N00000X
Dermatology Physician
136349
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265073415
ORGANIZATIONAL NPI
—
Enumeration date
06/17/2009
Last updated
08/28/2023
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