| Organization Name: | JOHN M. COTTRELL D.O. CHARTERED |
| NPI Number: | 1336359991 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN M COTTRELL (DOCTOR) |
| Mailing Address: | 2 W Talcott Rd Ste 16 Park Ridge |
| State: | IL US |
| Postal Code: | 600685558 |
| Phone Number: | 8473185500 |
| Fax Number: | 8473181567 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 09/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036071939 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |