Organization
PLASTIC AND RECONSTRUCTIVE SURGERY CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. KOTIS D.O. (CEO)
(847) 577-6400
Entity
Organization
Contact information
Practice address
3443 N KENNICOTT AVE, ARLINGTON HTS, IL 60004-1431
(847) 577-6400
(847) 577-3194
Mailing address
3443 N KENNICOTT AVE, ARLINGTON HTS, IL 60004-1431
(847) 577-6400
(847) 577-3194
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
036087458
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087458
—
IL
Enumeration date
10/30/2010
Last updated
10/30/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us