Abraham N Lotan, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

036062654 Issued in IL

Practice address

2127 Midlands CT
Suite 203
Sycamore, IL 60178-3173

Phone

(815) 758-8106

Fax

(815) 758-8108

NPI assigned

Jun 25, 2006

Last updated

Mar 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abraham N. Lotan, MD

  • Otolaryngology Physician
  • Sycamore, IL
  • NPI 1184898009
  Authorized official Same address or phone
• Northern Illinois ENT Specialists LTD

  • Otolaryngology Physician
  • Sycamore, IL
  • NPI 1437334828
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1760418214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 MIDLANDS CT",
            "address_2": "SUITE 203",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783173",
            "telephone_number": "815-758-8106",
            "fax_number": "815-758-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 MIDLANDS CT",
            "address_2": "SUITE 203",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783173",
            "telephone_number": "815-758-8106",
            "fax_number": "815-758-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTAN",
        "first_name": "ABRAHAM",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036062654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4500644",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062654",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Professional Counseling Center, LLC
• Jennifer Lindskog, PSYD
• Weston Kenneth Loder
• Lonn E Brander DDS LTD (Brander Dental Care & Sleep Wellness)
• Edgar Lopez
• Emilie Frances Lothson
• Elizabeth Lowe, MA
• Jeff Yasin Lu, DDS
• Melissa Maria Lugo, PEL, LPC, NCC
• M I M Hematology-Oncology LLC

• Otolaryngology Physician in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.