Individual
MICHELLE A KOMINIAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST, GALTER, SUITE 14-200, CHICAGO, IL 60611-5975
(312) 472-0531
(312) 472-3740
Mailing address
675 N SAINT CLAIR ST, GALTER, SUITE 14-200, CHICAGO, IL 60611-5975
(312) 472-0531
(312) 472-3740
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036105885
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200479480
—
IN
Enumeration date
07/14/2006
Last updated
03/04/2022
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