Michael S Lotke M.D.

NPI 1063406460 - Pediatrics - 208000000X

NPI Details
NPI 1063406460
Gender Male
Enumeration Date 08/31/2005
Last Updated 02/17/2012
Entity Type Individual
Active Over 12 years ago
Practice Location
1501 S CALIFORNIA AVE
CHICAGO IL, 60608-1732, US
Phone (773) 257-6892
Fax
Business Location
3537 PAYSPHERE CIR
CHICAGO IL, 60674-0035, US
Phone (708) 786-2900
Fax
Toxanomy
Taxonomy Code 208000000X
License State Illinois
License Number 036-091780
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According to our database, Dr. Michael S Lotke M.D. NPI is 1063406460, taxonomy code is 208000000X and license number is 036-091780, license state is located at Illinois. Michael S Lotke M.D. physically located at 1501 S California Ave, Chicago IL, 60608-1732. NPI Number Michael S Lotke M.D. has the Individual type.

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1063406460 NPI number is provided on an as is basis without warranty of any kind. 1063406460 is maintained by the National Plan & Provider Enumeration System. The contents of Michael S Lotke M.D. are for informational purposes only.