Individual
NANETTE KOTZ-JOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1945 W WILSON AVE, CHICAGO, IL 60640-5255
(773) 736-6220
(773) 736-6220
Mailing address
1945 W WILSON AVE, CHICAGO, IL 60640-5255
(773) 736-6220
(773) 736-3941
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.007900
IL
Other
Enumeration date
12/31/2016
Last updated
12/02/2021
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