Search › Illinois › 101YM0800X
Jamie Kmieciak
NPI 1902653199 · on the registry since 2024
Practice
- Address
- 4745 Main St Ste 207
Lisle, IL 60532 - Phone
- (630) 442-1895
- Organisation at this address
- Michael J Gonda Dds Ltd
Your Story Counseling, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-04
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