Individual
MR. HENRY MICHAEL KOTLINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5804 W ADDISON ST, CHICAGO, IL 60634-4358
(773) 736-5525
(773) 736-4811
Mailing address
5804 W ADDISON ST, CHICAGO, IL 60634-4358
(773) 736-5525
(773) 736-4811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020980
IL
Other
Enumeration date
01/04/2008
Last updated
02/09/2010
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