Individual
JONATHAN COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2 W TALCOTT RD STE 16, PARK RIDGE, IL 60068-5558
(847) 318-5500
Mailing address
2 W TALCOTT RD STE 16, PARK RIDGE, IL 60068-5558
(847) 318-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.148792
IL
207Q00000X
Family Medicine Physician
125068093
IL
Other
Enumeration date
03/22/2016
Last updated
06/20/2019
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