Organization
CAROL A. KOTZAN, M.D., S. C.
Active
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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