Cotton, Daniel R

Cotton, Daniel R is an sole proprietor health care provider with primary practice located at 799 Roosevelt Rd # 3-104A , Glen Ellyn IL 60137-5908. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cotton, Daniel R can be contacted via phone (630) 240-0147.

Contact Information

Primary practice address
799 Roosevelt Rd # 3-104A Glen Ellyn IL 60137-5908
Phone: (630) 240-0147
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1871603720
LBN Legal business name Cotton, Daniel R
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871603720 NPPES
Illinois Other 223226 BLUE CROSS BLUE SHIELD
Illinois Other 293793 BLUE CROSS BLUE SHIELD
Illinois Other 691275 BLUE CROSS BLUE SHIELD

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