Individual
DR. JOHN A KOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3443 N KENNICOTT AV, ARLINGTON HEIGHTS, IL 60004
(847) 577-6400
(847) 597-3194
Mailing address
3443 N KENNICOTT AV, ARLINGTON HEIGHTS, IL 60004
(847) 577-6400
(847) 597-3194
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635300
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
11/03/2006
Last updated
07/08/2007
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