Andrew J Kontrick Mdsc

LBN: Andrew J Kontrick Mdsc
Andrew J Kontrick Mdsc is an health care organization with primary practice located at 35 Tower Court Suite I, Gurnee IL 60031-5712. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Andrew J Kontrick Mdsc can be contacted via phone (847) 244-5884, or through Kontrick, Andrew J via phone (847) 244-5884.

Contact Information

Primary practice address
35 Tower Court Suite I Gurnee IL 60031-5712
Phone: (847) 244-5884
Fax: (847) 244-0547
Website:
Map and Directions
Authorized official contact:
Name: Kontrick, Andrew J Doctor of Medicine (MD)
Phone: (847) 244-5884

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X Illinois

Profile Details

NPI number 1720154396
LBN Legal business name Andrew J Kontrick Mdsc
DBA Doing business as
Authorized official Kontrick, Andrew J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720154396 NPPES
Other 04926221 BCBS
MEDICAID 03604585865 BCBS

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