Individual
THOMAS LC COTTRELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2 WEST TALCOTT RD SUITE 16, PARK RIDGE, IL 60068-5558
(847) 318-5500
(847) 318-1567
Mailing address
2 W TALCOTT RD STE 16, PARK RIDGE, IL 60068-5558
(847) 318-5500
(847) 318-1567
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085004334
IL
Other
Enumeration date
07/05/2012
Last updated
10/18/2012
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