| Carol Kotzan Md Llc | |
|
360 Station Dr Suite 201 Crystal Lake IL 60014-7978 | |
| (815) 455-7200 | |
| Not Available |
| Full Name | Carol Kotzan Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 360 Station Dr, 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 Kotzan Md Llc 360 Station Dr Suite 201 Crystal Lake IL 60014-7978 Ph: (815) 455-7200 | Carol Kotzan Md Llc 360 Station Dr Suite 201 Crystal Lake IL 60014-7978 Ph: (815) 455-7200 |
| NPI Number | 1457603557 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 03/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457603557 | NPI | - | NPPES |
| 036076689 | Medicaid | IL | |
| 5632584 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036076689 (Illinois) | Primary |
Family Medicine For Mchenry County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014 Phone: 847-658-2400 Fax: 847-658-7755 | |
Family Health Partnership Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Congress Pkwy, Crystal Lake, IL 60014 Phone: 779-220-9300 | |
Tt Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 741 S Mchenry Ave Ste C&d, Crystal Lake, IL 60014 Phone: 815-770-2780 Fax: 815-770-2780 | |
Uwc- Crystal Lake Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr Ste 260a, Crystal Lake, IL 60014 Phone: 312-421-1016 Fax: 779-201-4420 | |
Global Med Pro Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 741 S Mchenry Ave Ste C&d, Crystal Lake, IL 60014 Phone: 815-455-1344 Fax: 630-559-7349 | |
Rejuvenesse Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5911 Northwest Hwy, Suite 101, Crystal Lake, IL 60014 Phone: 815-788-1992 Fax: 815-788-1993 | |
Illinois Partners In Endocrinology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 N Terra Cotta Rd Ste A, Crystal Lake, IL 60012 Phone: 815-444-6301 |