Provider Demographics
NPI:1538136049
Name:KOTEK, ALISON D (ATC, NASM-PES)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:D
Last Name:KOTEK
Suffix:
Gender:F
Credentials:ATC, NASM-PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 COLORADO CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-5360
Mailing Address - Country:US
Mailing Address - Phone:630-355-3873
Mailing Address - Fax:
Practice Address - Street 1:724 COLORADO CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-5360
Practice Address - Country:US
Practice Address - Phone:630-355-3873
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL960021472255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer