CAROL KOTZAN MD LLC
NPI 1457603557
Internal Medicine in Crystal Lake, IL

NPI Status: Active since October 12, 2012

Contact Information

360 STATION DR
SUITE 201
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 455-7200

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  • Organization
  • Internal Medicine

About CAROL KOTZAN MD LLC

This page provides the complete NPI Profile along with additional information for Carol Kotzan Md Llc, an internist established in Crystal Lake, Illinois operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1457603557 assigned on October 2012. The practitioner's primary taxonomy code is 207R00000X with license number 036076689 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Carol Anne Kotzan M.d. (President)

NPI
1457603557
Provider Name
CAROL KOTZAN MD LLC
Entity Type
Organization
Location Address
360 STATION DR SUITE 201 CRYSTAL LAKE, IL 60014
Location Phone
(815) 455-7200
Mailing Address
360 STATION DR SUITE 201 CRYSTAL LAKE, IL 60014
Mailing Phone
(815) 455-7200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2012
Last Update Date
03-25-2013
Code Navigator

An internist like Carol Kotzan Md Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
036076689
License State
IL
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CAROL ANNE KOTZAN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(815) 455-7200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
B54296MEDICARE UPIN (02)IL 
036076689MEDICAID (05)IL 
5632584OTHER (01)ILBCBS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457603557
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241071206510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 2 + 0 + 6 + 5 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1457603557 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

SARAH FERGUSON NP

Nurse Practitioner

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014

(815) 356-5382

ANTONIO C YUK, MD, SC

Neurological Surgery

360 STATION DR
SUITE 240
CRYSTAL LAKE, IL
ZIP 60014

(815) 356-5577

THE SLEEP AND WELLNESS CENTER, PC

Clinic/Center

(Sleep Disorder Diagnostic)

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014

(847) 854-4220

MS. RANDI Y BARBON RN, CDE

Registered Nurse

(Diabetes Educator)

360 STATION DR
3RD FLOOR
CRYSTAL LAKE, IL
ZIP 60014

(815) 356-2383

AMBER KOTELES PT

Physical Therapist

360 STATION DR
SUITE 250
CRYSTAL LAKE, IL
ZIP 60014

(815) 356-1750

ILLINOIS SPINE INSTITUTE,S.C.

Specialist

360 STATION DR
SUITE 200
CRYSTAL LAKE, IL
ZIP 60014

(847) 303-1200

CHILDREN'S PHYSICIAN GROUP

Pediatrics

(Pediatric Cardiology)

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014

(815) 338-6600

KATHLEEN L KRETCHMER R.N., C.D.E

Registered Nurse

(Diabetes Educator)

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014

(815) 338-6600

DR. MUHAMMAD ALI M.D.

Family Medicine

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014

(815) 338-6600

ACCELERATED REHABILITATION CENTERS, LTD

Physical Therapist

360 STATION DR
SUITE 250
CRYSTAL LAKE, IL
ZIP 60014

(815) 356-1750

SANDRA JAESCHKE CNP

Nurse Practitioner

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014

(815) 338-6600

CHRISTOPHER M NORTHERN PA

Physician Assistant

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014

(815) 356-2330

DR. ANTONIO C YUK M.D.

Neurological Surgery

360 STATION DR
SUITE 240
CRYSTAL LAKE, IL
ZIP 60014

(815) 356-5577

MARILYN M C LACROSSE M.D.

Family Medicine

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014

(815) 338-6600

ANGELA L KLISZ DPT

Physical Therapist

360 STATION DR
SUITE 250
CRYSTAL LAKE, IL
ZIP 60014

(815) 356-1750

JASON A CARMAN DNP

Nurse Practitioner

(Family)

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014

(815) 338-6600

MATILDA M ROSANWO MD

Family Medicine

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014

(815) 338-6600

SONIA C MEHTA M.D.

Internal Medicine

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014

(815) 338-6600

MRS. AMITHA MUSHYAM M.D.

Family Medicine

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014

(815) 338-6600

MS. MARY ANN HOLEM FNP-BC

Nurse Practitioner

(Family)

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014

(815) 338-6600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457603557, enumerated as an "organization" on October 12, 2012.

The provider is located at 360 STATION DR SUITE 201 CRYSTAL LAKE, IL 60014 and the phone number is (815) 455-7200.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.