Carol Kotzan Md Llc

LBN: Carol Kotzan Md Llc
Carol Kotzan Md Llc is an health care organization with primary practice located at 360 Station Dr Suite 201, Crystal Lake IL 60014-7978. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Carol Kotzan Md Llc can be contacted via phone (815) 455-7200, or through Kotzan, Carol Anne via phone (815) 455-7200.

Contact Information

Primary practice address
360 Station Dr Suite 201 Crystal Lake IL 60014-7978
Phone: (815) 455-7200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kotzan, Carol Anne Doctor of Medicine (MD)
Phone: (815) 455-7200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036076689 Illinois

Profile Details

NPI number 1457603557
LBN Legal business name Carol Kotzan Md Llc
DBA Doing business as
Authorized official Kotzan, Carol Anne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2012
Last updated Mar 25th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457603557 NPPES
Illinois MEDICAID 036076689
Illinois Other 5632584

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