Lynda Kerstin De la Cotera, M.A.M.S.
Individual provider Active NPI Long Term Care Hospital · River Forest, IL
NPI 1023192572 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1023192572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Long Term Care Hospital 282E00000X
- Practice address
- 211 Franklin Ave
River Forest, IL 60305-2115 - Phone
- (708) 488-0265
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | Yes |
Addresses
Primary practice location
211 Franklin Ave
River Forest, IL 60305-2115
Mailing address
211 Franklin Ave
River Forest, IL 60305-2115
Phone (708) 488-0265
Other providers in River Forest, IL
- Pamela A Cools
- Amy Johann Cortis
- Courtney R Villari DDS
- Kevin P. Cullinane
- Karen Vanslyck Darley
- Amy Allyssa Deegan
- Beatrice Defranco
- Dick J Derks
- Dhanalakshmi P Ganesan MD, SC
- Dhanalakshmi P. Ganesan M.D.S.C
All providers in River Forest, IL · Long Term Care Hospital in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.