NICOLE Y OTTENS

MATTOON, IL
NPI1750531638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036-126162)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  02003351A)
Enumeration Date2008-09-26
Last Update Date2019-01-04
Business Address
Dr. NICOLE Y OTTENS D.O.
1000 HEALTH CENTER DR
MATTOON, IL 61938-9261
Phone number: 217-258-2551
Mailing Address
Dr. NICOLE Y OTTENS D.O.
1005 HEALTH CENTER DR STE 201
MATTOON, IL 61938-4693
Phone number: 217-238-6055