Provider Demographics
NPI:1346081627
Name:KOTTOOR, SANTHOSH JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:SANTHOSH
Middle Name:JAMES
Last Name:KOTTOOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 EAST CALLERO CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056
Mailing Address - Country:US
Mailing Address - Phone:224-595-9913
Mailing Address - Fax:
Practice Address - Street 1:CHICAGO MEDICAL SCHOOL ROSALIND FRANKLIN UNIVERSITY
Practice Address - Street 2:3333 GREEN BAY ROAD
Practice Address - City:NORTH CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60064
Practice Address - Country:US
Practice Address - Phone:847-578-3227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program