Search › Illinois › 363A00000X
Carly Kaminke, PA-C
NPI 1548741945 · on the registry since 2018
Practice
- Address
- 400 Riverside Dr Ste 1600
Bourbonnais, IL 60914 - Phone
- (815) 802-7090
- Fax
- (815) 802-7091
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois