Individual
ANDREW KONTRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9600 GROSS POINT RD, SKOKIE, IL 60076-1214
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 758733, BALTIMORE, MD 21275-0001
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620446
BLUE CROSS
IL
05
—
0360458582
—
IL
Enumeration date
06/06/2006
Last updated
01/07/2008
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