DR. MARY ANN KAMINSKI (NPI# 1033550322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033550322 |
| Entity Type | Individual |
| Full Name | DR. MARY ANN KAMINSKI |
| Credential | PHARMD, BCACP |
| Practice Address |
2003 W Fulton St 402 Chicago IL 60612-2345 |
| Mailing Address |
1535 N Wicker Park Ave #2e Chicago IL 60622-1919 |
| Practice Telephone | 3122023500 |
| Mailing Telephone | 7733076842 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
051291966 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831395292 | Mary Ann Kaminski | Counselor | 16 S 7th St, Duncan, OK 73533-4940 | 2007-06-22 |
| Street Address |
2003 W FULTON ST 402 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013638 | Michael L Fessenden | Family Medicine | 2003 W Fulton St, 3rd Floor, Chicago, IL 60612-2345 | 2005-06-20 |
| 1114526910 | Elizabeth Fast | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2020-10-22 |
| 1568080901 | Margaret R Bratcher | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2020-07-13 |
| 1285255802 | Jessica Schumacher | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2020-05-05 |
| 1033740931 | Charlotte Gambla | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2020-01-29 |
| 1609413970 | Danielle Dicristofano | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2019-12-05 |
| 1679110381 | Stephanie Kulczycki | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2019-12-02 |
| 1902454242 | Rina Hisamatsu | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2019-08-29 |
| 1376004903 | Jena Bartholomy | Dietitian, Registered | 2003 W Fulton St, Chicago, IL 60612-2345 | 2019-03-27 |
| 1861952160 | Michelle Spleha | Nurse Practitioner | 2003 W Fulton St, Chicago, IL 60612-2345 | 2019-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099253 | Kelsey Schultz | Pharmacist | 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 | 2020-09-28 |
| 1922661230 | Devon Burhoe | Pharmacist | 833 S Wood St Ste 164, Chicago, IL 60612-7229 | 2019-04-22 |
| 1649743626 | Phoebe Sebhatu Lebeau | Pharmacist | 1725 W Harrison St Ste 104, Chicago, IL 60612-3832 | 2019-01-02 |
| 1730566233 | Glen Pietrandoni | Pharmacist | 2100 N Racine Ave, 4d, Chicago, IL 60614-4060 | 2015-05-04 |
| 1952732570 | Joy Ezidinma | Pharmacist | 3302 W Crystal St, Unit 2, Chicago, IL 60651-2375 | 2013-12-07 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1255601753 | Viktorija O Trakis | Pharmacist | 675 N Peoria St Apt 2n, Chicago, IL 60642-8324 | 2011-12-31 |
| 1558664896 | Jaini Patel | Pharmacist | 2535 South Martin Luther King Drive, Chicago, IL 60616 | 2010-12-08 |
| 1780997684 | Roger Allen Wilcox | Pharmacist | 6 E Monroe St Ste 1304, Chicago, IL 60603-2728 | 2010-07-20 |
| 1851604102 | Angela M. Plewa | Pharmacist | 1901 W Harrison St # Ll175, Chicago, IL 60612-3714 | 2010-07-15 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.