Individual
SARAH C KOTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN CRNA
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(312) 766-4949
(312) 766-4908
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
041-308130
IL
207L00000X
Anesthesiology Physician
209-005426
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209005426
IL
Other
Enumeration date
07/21/2006
Last updated
01/06/2025
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