Individual
MR. ABRAHAM N LOTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2127 MIDLANDS CT, SUITE 203, SYCAMORE, IL 60178-3173
(815) 758-8106
(815) 758-8108
Mailing address
2127 MIDLANDS CT, SUITE 203, SYCAMORE, IL 60178-3173
(815) 758-8106
(815) 758-8108
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036062654
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062654
—
IL
01
—
4500644
BCBS
IL
Enumeration date
06/25/2006
Last updated
03/19/2013
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