Kotzan, Carol Anne

Kotzan, Carol Anne is an sole proprietor health care provider with primary practice located at 525 E Congress Parkway Suite 250 , Crystal Lake IL 60014-6258. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kotzan, Carol Anne can be contacted via phone (815) 455-7200.

Contact Information

Primary practice address
525 E Congress Parkway Suite 250 Crystal Lake IL 60014-6258
Phone: (815) 455-7200
Fax: (815) 455-9256
Website:
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Health care specialties

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

Profile Details

NPI number 1710950100
LBN Legal business name Kotzan, Carol Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Feb 14th, 2020 - about 4 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 1710950100 NPPES
Illinois MEDICAID 036076689
Illinois Other 5632272

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