Search › Illinois › 367500000X
Larry Kotewa, CRNA
NPI 1942278130 · on the registry since 2006 · sole proprietor
Practice
- Address
- 124 W Whitehall Ct
Peoria, IL 61614 - Phone
- (309) 691-2607
- Fax
- (309) 683-1003
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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