NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1942492772 |   |   |   | CAROL A. KOTZAN, M.D., S. C. | 360 STATION DRVE | CRYSTAL LAKE | IL | 600147978 |
1003147406 | DIAMOND | AMANDA | MARIE |   | 360 STATION DRIVE | CRYSTAL LAKE | IL | 600147978 |
1710950100 | KOTZAN | CAROL | ANNE |   | 53 STRATHAM CIR | NORTH BARRINGTON | IL | 600106908 |