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1477320828
CHAD ORIN COTTRELL
CHAMPAIGN, IL
NPI
1477320828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209.028717)
Enumeration Date
2023-12-06
Last Update Date
2023-12-06
Business Address
CHAD ORIN COTTRELL PMHNP-BC
809 W CHURCH ST
CHAMPAIGN, IL 61820-3320
Phone number: 217-474-3261
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Mailing Address
CHAD ORIN COTTRELL PMHNP-BC
1720 MURRAY CLARK RD
DANVILLE, IL 61832-7715
Phone number: 217-474-3261
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