Individual
AMI KURANI KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9000 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 60053-2127
(847) 375-3000
Mailing address
900 RAND RD STE 300, ATTN: RAQUEL LEOM, DES PLAINES, IL 60016-2359
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036114846
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5860300007
MEDICARE DME
IL
Enumeration date
07/30/2008
Last updated
08/28/2012
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