Individual
SCOTT J COTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(855) 483-7362
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(855) 483-7362
Taxonomy
Speciality
Code
Description
License number
State
207RI0008X
Hepatology Physician
Primary
036086423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081647422
BCBS PROVIDER #
IL
Enumeration date
08/19/2006
Last updated
10/27/2020
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