Individual
DR. CARMEN T FOTSO-KOUATCHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
979 W MAIN ST STE 201, WEST DUNDEE, IL 60118-2095
(800) 323-1743
(847) 426-1086
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036106098
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106098
—
IL
Enumeration date
11/28/2005
Last updated
08/13/2025
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