Hotaling, Andrew Jay

Hotaling, Andrew Jay is an individual health care provider with primary practice located at 2160 S First Ave Maguire Center 1870, Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Hotaling, Andrew Jay can be contacted via phone (708) 216-9183.

Contact Information

Primary practice address
2160 S First Ave Maguire Center 1870 Maywood IL 60153
Phone: (708) 216-9183
Fax: (708) 216-4834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 036-062122 Illinois

Profile Details

NPI number 1912984261
LBN Legal business name Hotaling, Andrew Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jun 17th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912984261 NPPES
Illinois MEDICAID 36062122

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