Organization
CAROL A. KOTZAN, M.D., S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANNE KOTZAN M.D. (PRESIDENT)
(815) 455-7200
Entity
Organization
Contact information
Practice address
5911 NORTHWEST HWY, SUITE 105, CRYSTAL LAKE, IL 60014-8065
(815) 455-7200
(815) 455-9256
Mailing address
360 STATION DRVE, SUITE 201, CRYSTAL LAKE, IL 60014-7978
(815) 455-7200
(815) 455-9256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042617706
IL
Other
Enumeration date
08/15/2007
Last updated
04/22/2008
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