Provider Demographics
NPI:1902252513
Name:KOTT, LINDA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:KOTT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 S RANDALL RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-9470
Mailing Address - Country:US
Mailing Address - Phone:630-879-8858
Mailing Address - Fax:630-879-6273
Practice Address - Street 1:129 S RANDALL RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-9470
Practice Address - Country:US
Practice Address - Phone:630-879-8858
Practice Address - Fax:630-879-6273
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051037543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist