Individual
DANIEL R COTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
799 ROOSEVELT RD # 3-104A, GLEN ELLYN, IL 60137-5908
(630) 240-0147
Mailing address
6099 MILL BRIDGE LN, LISLE, IL 60532-2864
(630) 240-0147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223226
BLUE CROSS BLUE SHIELD
IL
01
—
293793
MHN
IL
01
—
691275
FIRST HEALTH
IL
Enumeration date
08/30/2006
Last updated
07/08/2007
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