Kotov, Eleanor

Kotov, Eleanor is an sole proprietor health care provider with primary practice located at 350 N Wall St , Kankakee IL 60901-2901. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Kotov, Eleanor can be contacted via phone (815) 933-1671.

Contact Information

Primary practice address
350 N Wall St Kankakee IL 60901-2901
Phone: (815) 933-1671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD471833 Pennsylvania

Profile Details

NPI number 1215460894
LBN Legal business name Kotov, Eleanor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2017
Last updated Feb 20th, 2024 - about 10 months 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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