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NPI Code Detail

MEDICARE: MRS. KAREN F COTLER ARNP-FNP

MEDICARE: MRS. KAREN F COTLER ARNP-FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center1267952FL
2363LF0000XFamily Nurse Practitioner209012416IL

General Provider Information

NPI Number : 1417211830
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN F COTLER ARNP-FNP
Provider Business Mailing Address
First Line : 1220 S WOOD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1202
Country : US
Telephone Number :
Fax Number : 772-220-4148
Provider Business Practice Location Address
First Line : 3242 W DIVISION ST
Second Line :
City : CHICAGO
State : IL
Zip : 60651-4088
Country : US
Telephone Number : 312-996-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2012
Last Update Date : 10/04/2019

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