Individual
KATHERINE CAROL OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 E HURON ST, SUITE 1-203, CHICAGO, IL 60611-2909
(312) 503-4748
Mailing address
441 E ERIE ST APT 1708, CHICAGO, IL 60611-4423
(316) 201-7945
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.068374
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2016
Last updated
12/30/2018
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