Search › Illinois › 235Z00000X
Tatiana Kokotovich
NPI 1558911891 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2201 S Morrison Ave
Collinsville, IL 62234 - Phone
- (618) 346-6320
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 106S00000X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-03
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