| Dr John A Kotis, DO | |
|
3443 N Kennicott Av, Arlington Heights, IL 60004 | |
| (847) 577-6400 | |
| (847) 597-3194 |
| Full Name | Dr John A Kotis |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 3443 N Kennicott Av, Arlington Heights, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649359498 | NPI | - | NPPES |
| 01635300 | Other | IL | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | (Illinois) | Primary |
| Entity Name | Plastic And Reconstructive Surgery Center Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528368016 PECOS PAC ID: 5395933584 Enrollment ID: O20110104000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John A Kotis, DO 3443 N Kennicott Av, Arlington Heights, IL 60004 Ph: (847) 577-6400 | Dr John A Kotis, DO 3443 N Kennicott Av, Arlington Heights, IL 60004 Ph: (847) 577-6400 |
Dr. Rudolph Frank Dolezal, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 605 W Central Rd, Suite 205, Arlington Heights, IL 60005 Phone: 847-398-8844 Fax: 847-398-8880 | |
Otto J Placik, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 880 W Central Rd, #3100, Arlington Heights, IL 60005 Phone: 847-398-1660 Fax: 847-398-1784 | |
Dr. Michael Damen, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1700 W Central Rd, Arlington Heights, IL 60005 Phone: 847-259-1000 |