Tracy Louise Kotecki

NPI #1861096166 in Peru, Illinois

Provider Information

NPI Number: 1861096166
Entity Type: Individual
Name: Tracy Louise Kotecki
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 26, 2020
Last Updated: Nov 26, 2020

Practice Location

Address: 1004 SHOOTING PARK RD
City: Peru
State: Illinois
ZIP Code: 61354-1871
Phone: (815) 224-1411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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