Cotton, Deavolon

Cotton, Deavolon is an individual health care provider with primary practice located at 831 Maple Ave Ste 128 , Homewood IL 60430-2031. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Cotton, Deavolon can be contacted via phone (773) 209-8081.

Contact Information

Primary practice address
831 Maple Ave Ste 128 Homewood IL 60430-2031
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1922407949
LBN Legal business name Cotton, Deavolon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2014
Last updated Aug 14th, 2014 - about 12 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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