Dr. Howard Shane Kotler
Otolaryngology/Facial Plastic Surgery
2555 S. Martin Luther King Dr.
Chicago
, Illinois 60616
Dr. Howard Shane Kotler
Otolaryngology/Facial Plastic Surgery
2555 S. Martin Luther King Dr.
Chicago
, Illinois 60616
(312) 606-0672
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Howard Shane Kotler
- 2555 S. Martin Luther King Dr.
- Chicago, IL
- Zip : 60616
- Phone : (312) 606-0672
Second Address
- Dr. Howard Shane Kotler
- 2555 S. Martin Luther King Dr.
- Chicago, IL
- Zip : 60616
- Phone : (312) 606-0672
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 036082174 | IL |
National Provider Identifier
| NPI | 1609805985 |
|---|---|
| Provider Name | Dr. Howard Shane Kotler |
| First Address | Chicago, IL 60616 |
| Second Address | Chicago, IL 60616 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 13/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036082174 | (05) | IL |
| F70611 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.