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NPI Code Detail

MEDICARE: MS. ANNIE W. KOT

MEDICARE: MS. ANNIE W. KOT
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
11041C0700XClinical Social Worker149-006248IL

General Provider Information

NPI Number : 1972693133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNIE W. KOT
Provider Business Mailing Address
First Line : 1845 GRANDSTAND PL
Second Line :
City : ELGIN
State : IL
Zip : 60123-6603
Country : US
Telephone Number : 847-931-9314
Fax Number :
Provider Business Practice Location Address
First Line : 1845 GRANDSTAND PL
Second Line :
City : ELGIN
State : IL
Zip : 60123-6603
Country : US
Telephone Number : 847-695-0484
Fax Number : 847-695-1265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 06/09/2015

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Directions to “ MS. ANNIE W. KOT ” Practice Location

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