Cottrell, John M
Cottrell, John M is an sole proprietor health care provider with primary practice located at 2 West Falcott Road Suite 16, Park Ridge IL 60068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cottrell, John M can be contacted via phone (847) 318-5500.Contact Information
Primary practice address
2 West Falcott Road Suite 16
Park Ridge IL 60068
Phone: (847) 318-5500
Fax: (847) 318-1567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036071939 | Illinois |
Profile Details
| NPI number | 1639175664 |
|---|---|
| LBN Legal business name | Cottrell, John M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jun 28th, 2013 - about 12 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 | 1639175664 | NPPES |
| Illinois | MEDICAID | 036071939 |
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