Individual
MRS. DAWN KOTERBSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1345 RYAN PKWY, ALGONQUIN, IL 60102
(847) 658-9555
(847) 658-2167
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001597
IL
363A00000X
Physician Assistant
085001597
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204142
MEDICARE NUMBER
IL
Enumeration date
09/01/2005
Last updated
04/15/2025
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