Individual
DR. HOWARD SHANE KOTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
843 W ADAMS ST APT 509, CHICAGO, IL 60607-3000
(312) 622-3500
Mailing address
843 W ADAMS ST APT 509, CHICAGO, IL 60607-3000
(312) 622-3500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036082174
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082174
—
IL
Enumeration date
06/30/2006
Last updated
04/08/2024
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