Individual
DESIRAE KOTNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1111 E JACKSON ST, LOMBARD, IL 60148-3709
(630) 682-7400
Mailing address
5381 WESTVIEW LN, LISLE, IL 60532-2446
(630) 639-6569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.559570
IL
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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