Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 019.029868 | IL |
NPI | 1003223884 |
---|---|
Provider Name | Dr. Monica Kalinowski |
First Address | Schaumburg, IL 60193-3524 |
Second Address | Schaumburg, IL 60193-3524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2014 |
Last Update Date | 14/07/2014 |