Individual
JESSICA SUE KOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 W 22ND ST, OAK BROOK, IL 60523-1225
(630) 572-1232
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
209016837
IL
363LA2100X
Acute Care Nurse Practitioner
277-003059
IL
363LF0000X
Family Nurse Practitioner
16335
WI
363LF0000X
Family Nurse Practitioner
209016837
IL
363LF0000X
Family Nurse Practitioner
Primary
277-003059
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100304065
—
WI
Enumeration date
10/12/2017
Last updated
03/17/2025
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