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Deactivated NPI 1336102250 Deactivated / Inactive NPI Male Practitioner

Dr. Mitchell V. Kaminski , MD

Specialist • Niles, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mitchell Kaminski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2006
NPI Deactivation Date June 28, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Kaminski, MD was a registered Specialist practicing in Niles, IL. Throughout an active medical career spanning 17 years, Dr. Kaminski provided care at the practice location at 6948 N LEXINGTON LN until profile deactivation on 2023-06-28.

Practice Location & Contact Primary Location

Practice Address

6948 N Lexington Ln

Niles, IL 607144444

Telephone 8476470747
Fax 8479830127
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Niles, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Niles, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 036-041940

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 28, 2023

Record deactivated on June 28, 2023

NPI Profile Active January 18, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 18, 2012

Registered at 6948 N LEXINGTON LN, NILES, IL 607144444 (Tel: 8476470747)

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Updated Business Mailing Address January 18, 2012

Registered at 6948 N LEXINGTON LN, NILES, IL 607144444 (Tel: 8476470747)

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Provider Name / Credentials Updated January 18, 2012

Recorded as MITCHELL KAMINSKI, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2012

Specialist (License #036-041940 in IL)

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Initial NPI Registration & Enumeration April 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336102250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2006
Last Update: January 18, 2012
Deactivation Date: June 28, 2023

Mailing Address

6948 N Lexington Ln

Niles, IL 607144444

Phone: 8476470747

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.