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Search › Illinois › 183500000X

Richard Cotterman

NPI 1164012696 · on the registry since 2021

Practice

Address
105 E Jackson St
Virden, IL 62690
Phone
(217) 965-4926
Organisation at this address
Jac Stores Inc
Jac Stores Inc
Jac Stores Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois