Carol a. Kotzan, M.D., S. C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042617706 Issued in IL

Legal business name

CAROL A. KOTZAN, M.D., S. C.

Practice address

5911 Northwest Hwy
Suite 105
Crystal Lake, IL 60014-8065

Phone

(815) 455-7200

Fax

(815) 455-9256

NPI assigned

Aug 15, 2007

Organization subpart

No

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

Authorized official

Name

Carol Anne Kotzan, M.D.

Title

President

Phone

(815) 455-7200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Lynn Ben-Dov, MD

  • Internal Medicine Physician
  • Deerfield, IL
  • NPI 1194709477
  NPD (past)

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1942492772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STATION DRVE",
            "address_2": "SUITE 201",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147978",
            "telephone_number": "815-455-7200",
            "fax_number": "815-455-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 NORTHWEST HWY",
            "address_2": "SUITE 105",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148065",
            "telephone_number": "815-455-7200",
            "fax_number": "815-455-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL A. KOTZAN, M.D., S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "KOTZAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-455-7200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "042617706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care Solutions, Inc.
• Caring Conversations Counseling LLC
• Caring Family S. C.
• Jason A Carman, DNP
• Holly S Carobene, M.D.
• Carol Kotzan MD LLC
• Zulema Carrillo Gonzalez, COTA/L
• Diana Lynn Carter, LCPC
• Holly Caruso, LPC
• Cary Grove Medical Associates, S.C.

• Internal Medicine Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.