Most Relevant Information
Provider Data
| NPI Number: | 1003197856 |
| Provider Name: | THOMAS COTHRAN PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103G00000X |
| Specialty: | Clinical Neuropsychologist |
| License Number: | 071.010299 |
Most Important Dates
| Enumeration Date: | 09/07/2011 |
| Last Updated: | 11/05/2020 |
Provider Practice Location
1000 LAKE ST APT 1217
OAK PARK
IL
603011523
Practice Location Phone/Fax
| Phone: | 3122173146 |
| Fax: |
Provider Mailing Location
1000 LAKE ST APT 1217
OAK PARK
IL
603011523
Provider Mailing Phone/Fax
| Phone: | 3122173146 |
| Fax: |