Individual
MR. ANDREW KAMP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1510 OLD ROUTE 66 NORTH, LITCHFIELD, IL 62056
(217) 324-3200
(217) 324-3262
Mailing address
935 EAST AIRLINE DR, EAST ALTON, IL 62024-2031
(618) 258-9093
(618) 258-9097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342305
HEALTHLINK
—
01
—
682316
BCBS
IL
Enumeration date
04/22/2006
Last updated
07/08/2007
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