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Organization
PLASTIC AND RECONSTRUCTIVE SURGERY CENTER SC
Active
Organization
PLASTIC AND RECONSTRUCTIVE SURGERY CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. KOTIS D.O. (CEO)
(847) 577-6400
Entity
Organization
Contact information
Practice address
3443 N KENNICOTT AVE, ARLINGTON HTS, IL 60004-1431
(847) 577-6400
(847) 577-3194
Mailing address
3443 N KENNICOTT AVE, ARLINGTON HTS, IL 60004-1431
(847) 577-6400
(847) 577-3194
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
036087458
IL
Other
Enumeration date
10/30/2010
Last updated
10/30/2010
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