Individual
CHAD ORIN COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
809 W CHURCH ST, CHAMPAIGN, IL 61820-3320
(217) 474-3261
Mailing address
1720 MURRAY CLARK RD, DANVILLE, IL 61832-7715
(217) 474-3261
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.028717
IL
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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