Individual
HEATHER MARIE KOTOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9650 GROSS POINT RD STE 4900, SKOKIE, IL 60076-1214
(847) 444-5300
Mailing address
9650 GROSS POINT RD STE 4900, SKOKIE, IL 60076-1214
(847) 444-5300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.018109
IL
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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