Individual
JOHN COUTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 N FARNSWORTH AVE, AURORA, IL 60505-1523
(630) 820-6303
(815) 433-3980
Mailing address
424 W MADISON ST, OTTAWA, IL 61350-2833
(815) 433-3953
(815) 433-3980
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JOHNC2021
EMPLOYEE ID
IL
Enumeration date
07/09/2020
Last updated
07/09/2020
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