| John M. Cottrell D.o. Chartered | |
|
2 W Talcott Rd Ste 16 Park Ridge IL 60068-5558 | |
| (847) 318-5500 | |
| (847) 318-1567 |
| Full Name | John M. Cottrell D.o. Chartered |
|---|---|
| Speciality | General Practice |
| Location | 2 W Talcott Rd Ste 16, Park Ridge, Illinois |
| Authorized Official Name and Position | John M Cottrell (DOCTOR) |
| Authorized Official Contact | 8473185500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John M. Cottrell D.o. Chartered 2 W Talcott Rd Ste 16 Park Ridge IL 60068-5558 Ph: (847) 318-5500 | John M. Cottrell D.o. Chartered 2 W Talcott Rd Ste 16 Park Ridge IL 60068-5558 Ph: (847) 318-5500 |
| NPI Number | 1336359991 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 09/26/2012 |
| Medicare PECOS PAC ID | 6103063094 |
|---|---|
| Medicare Enrollment ID | O20130514000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336359991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036071939 (Illinois) | Primary |
| Provider Name | John M Cottrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639175664 PECOS PAC ID: 8325181993 Enrollment ID: I20100204000212 |
| Provider Name | Jonathan T Cottrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760844583 PECOS PAC ID: 8921391699 Enrollment ID: I20190820000231 |
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