Individual
DR. GLEN S COTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
823 W LAKESIDE PL, SUITE 3E, CHICAGO, IL 60640-6768
(312) 399-6764
(773) 878-6507
Mailing address
823 W LAKESIDE PL, SUITE 3E, CHICAGO, IL 60640-6768
(312) 399-6764
(773) 878-6507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009471
IL
Other
Enumeration date
08/03/2012
Last updated
08/28/2013
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