Individual
MS. MATTIE M KAMINSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
365 RAIDER WAY, BOLINGBROOK, IL 60440-4893
(773) 428-0220
Mailing address
23908 MC MULLIN CIR, PLAINFIELD, IL 60586-2134
(773) 428-0220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96002386
IL
Other
Enumeration date
01/04/2007
Last updated
11/05/2014
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