| Carol A. Kotzan, M.d., S. C. | |
|
5911 Northwest Hwy Suite 105 Crystal Lake IL 60014-8065 | |
| (815) 455-7200 | |
| (815) 455-9256 |
| Full Name | Carol A. Kotzan, M.d., S. C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5911 Northwest Hwy, Crystal Lake, Illinois |
| Authorized Official Name and Position | Carol Anne Kotzan (PRESIDENT) |
| Authorized Official Contact | 8154557200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A. Kotzan, M.d., S. C. 360 Station Drve Suite 201 Crystal Lake IL 60014-7978 Ph: (815) 455-7200 | Carol A. Kotzan, M.d., S. C. 5911 Northwest Hwy Suite 105 Crystal Lake IL 60014-8065 Ph: (815) 455-7200 |
| NPI Number | 1942492772 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942492772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042617706 (Illinois) | Primary |
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