Cotton, Jonathan Cappeller
Cotton, Jonathan Cappeller is an individual health care provider with primary practice located at 400 Riverside Dr Ste 1600 , Bourbonnais IL 60914-5406. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Cotton, Jonathan Cappeller can be contacted via phone (815) 802-7090.Contact Information
Primary practice address
400 Riverside Dr Ste 1600
Bourbonnais IL 60914-5406
Phone: (815) 802-7090
Fax: (815) 802-7091
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 036136071 | Illinois |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036136071 | Illinois |
Profile Details
NPI number | 1023273901 |
---|---|
LBN Legal business name | Cotton, Jonathan Cappeller |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2008 |
Last updated | Mar 22nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023273901 | NPPES |
Illinois | MEDICAID | 036136071 |
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