Thomas L Cottrell, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036063111 Issued in IL

Practice address

2 W Talcott Rd
Ste 11
Park Ridge, IL 60068-5556

Phone

(847) 318-5500

Fax

(847) 318-1567

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fahey Medical Center S.C.

  • Clinic/Center
  • Des Plaines, IL
  • NPI 1780735977
  NPD
• United Shockwave Services, LTD.

  • Ambulatory Surgical Clinic/Center
  • La Grange, IL
  • NPI 1336526219
  NPD
• United Shockwave Services, LTD.

  • Urology Physician
  • Park Ridge, IL
  • NPI 1497132377
  NPD
• American Home Visiting Physicians

  • General Practice Physician
  • Des Plaines, IL
  • NPI 1144525510
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1003812934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W TALCOTT RD",
            "address_2": "STE 16",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685558",
            "telephone_number": "847-297-2240",
            "fax_number": "847-297-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W TALCOTT RD",
            "address_2": "STE 11",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685556",
            "telephone_number": "847-318-5500",
            "fax_number": "847-318-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "THOMAS",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036063111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justirini D Corpuz, DPT
• Duvia Correa
• Charlene Jurado Cortez, PT, DPT
• John M Cottrell, DO
• Jonathan Cottrell, D.O.
• Thomas LC Cottrell III, P.A.-C
• Kelly Cousins, PA-C
• Covizone Labs Incorporated
• Mary L Coyle, LCSW
• Emilee S Crabbe, DPT

• Urology Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.