Search › Illinois › 367500000X
Mallory Cotter
NPI 1386380046 · on the registry since 2022 · sole proprietor
Practice
- Address
- 6665 W Gate Ct
Roscoe, IL 61073 - Phone
- (518) 524-3221
Additional practice sites
- 1000 Seasons Blvd Apt 1009, West Dundee, IL
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-27
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