Provider Demographics
NPI:1740523539
Name:COTSEONES, JILL KATHERINE (DO)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:KATHERINE
Last Name:COTSEONES
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 N 3RD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2388
Mailing Address - Country:US
Mailing Address - Phone:630-315-6500
Mailing Address - Fax:630-315-6519
Practice Address - Street 1:25 N 3RD ST STE 100
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2388
Practice Address - Country:US
Practice Address - Phone:630-315-6500
Practice Address - Fax:630-315-6519
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-01
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL126063661207R00000X
IL036147037207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine