Organization
THOMAS L.C. COTTRELL JR, M.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L.C. COTTRELL M.D. (DOCTOR)
(847) 318-5500
Entity
Organization
Contact information
Practice address
2 W TALCOTT RD STE 11, PARK RIDGE, IL 60068-5500
(847) 318-5500
(847) 318-1567
Mailing address
2 W TALCOTT RD STE 11, PARK RIDGE, IL 60068-5500
(847) 318-5500
(847) 318-1567
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036063111
IL
Other
Enumeration date
04/20/2007
Last updated
11/11/2008
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