MEDICARE: BRITTANY KAMINSKI PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070019180	IL

General Provider Information

NPI Number	:	1841530052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY KAMINSKI PT, DPT

Provider Business Mailing Address
First Line	:	5569 BROOKBANK LN
Second Line	:
City	:	LONG GROVE
State	:	IL
Zip	:	60047-5190
Country	:	US
Telephone Number	:	773-575-3310
Fax Number	:

Provider Business Practice Location Address
First Line	:	7340 N ODELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-4374
Country	:	US
Telephone Number	:	773-757-5331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2013
Last Update Date	:	07/08/2019

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