Individual
JILL KAMPHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1703 6TH ST, PERU, IL 61354-2649
(815) 252-5983
Mailing address
1703 6TH ST, PERU, IL 61354-2649
(815) 252-5983
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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