Individual
MARTINA KOTRBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2937 N IL ROUTE 178 UNIT 5, UTICA, IL 61373-9708
(815) 664-5367
(815) 664-5204
Mailing address
2937 N IL ROUTE 178 UNIT 5, UTICA, IL 61373-9708
(815) 664-5367
(815) 664-5204
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
085.011653
IL
363A00000X
Physician Assistant
Primary
085.011653
IL
Other
Enumeration date
10/30/2025
Last updated
03/06/2026
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