Search › Illinois › 1223S0112X
Fred De La Cotera, DDS
NPI 1437139185 · on the registry since 2006
Practice
- Address
- 7714 W North Ave
Elmwood Park, IL 60707 - Phone
- (708) 456-7282
- Fax
- (708) 456-7296
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-11
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 Illinois