| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1457603557 | CAROL KOTZAN MD LLC | 360 STATION DR | CRYSTAL LAKE | IL | 600147978 | |||
| 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 |