CHAD ORIN COTTRELL

CHAMPAIGN, IL
NPI1477320828
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209.028717)
Enumeration Date2023-12-06
Last Update Date2023-12-06
Business Address
CHAD ORIN COTTRELL PMHNP-BC
809 W CHURCH ST
CHAMPAIGN, IL 61820-3320
Phone number: 217-474-3261
Mailing Address
CHAD ORIN COTTRELL PMHNP-BC
1720 MURRAY CLARK RD
DANVILLE, IL 61832-7715
Phone number: 217-474-3261