Kottra, Jennifer J.

Kottra, Jennifer J. is an individual health care provider with primary practice located at 4201 W Medical Center Dr , Mchenry IL 60050-8409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kottra, Jennifer J. can be contacted via phone (815) 334-5566.

Contact Information

Primary practice address
4201 W Medical Center Dr Mchenry IL 60050-8409
Phone: (815) 334-5566
Fax: (815) 759-4008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 28102 Arizona
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036139297 Illinois

Profile Details

NPI number 1477508935
LBN Legal business name Kottra, Jennifer J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Nov 8th, 2023 - about last year

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 1477508935 NPPES
Arizona MEDICAID 499378

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