Search › Michigan › 363LF0000X
Allison Kottackal, FNP
NPI 1427478049 · on the registry since 2014
Practice
- Address
- 1022 E Main St
Benton Harbor, MI 49022 - Phone
- (269) 926-0015
- Fax
- (269) 281-4475
- Organisation at this address
- Htc Outpatient Services
Harbortown Treatment Center
Harbortown Treatment Center PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Additional practice sites
- 446 E Ontario St, Chicago, IL
- 259 E Erie St Fl 17, Chicago, IL
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan