Kotis, Andrew
Kotis, Andrew is an individual health care provider with primary practice located at 825 S Milwaukee Ave , Libertyville IL 60048-3218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kotis, Andrew can be contacted via phone (847) 573-2802.Contact Information
Primary practice address
825 S Milwaukee Ave
Libertyville IL 60048-3218
Phone: (847) 573-2802
Fax: (847) 573-2837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036086608 | Illinois |
Profile Details
| NPI number | 1982795894 |
|---|---|
| LBN Legal business name | Kotis, Andrew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | May 26th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982795894 | NPPES |
| Illinois | MEDICAID | 036086608 |
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