Thomas L.C. Cottrell Jr, M.D., LTD.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036063111 Issued in IL

Legal business name

THOMAS L.C. COTTRELL JR, M.D., LTD.

Practice address

2 W Talcott Rd Ste 11
Park Ridge, IL 60068-5500

Phone

(847) 318-5500

Fax

(847) 318-1567

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Thomas L.C. Cottrell, M.D.

Title

Doctor

Phone

(847) 318-5500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John M Cottrell, DO

  • Family Medicine Physician
  • Park Ridge, IL
  • NPI 1639175664
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1487872115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W TALCOTT RD STE 11",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685500",
            "telephone_number": "847-318-5500",
            "fax_number": "847-318-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W TALCOTT RD STE 11",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685500",
            "telephone_number": "847-318-5500",
            "fax_number": "847-318-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L.C. COTTRELL JR, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.C.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-318-5500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036063111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Thibault, MOT, OTR/L
• James L Thill, D.C.
• David G Thoele, M.D.
• Thomas a Pavlovic MD SC
• Thomas E. Holmes LCSW
• Deepa John Thomas
• Grace Thomas
• Lauralea Thomas, NP
• Rinu Merin Thomas
• Sijo Thomas

• Specialist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.