Individual provider · Type 1 NPI

Keon McCottrell

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1659214815 Active

Practice location

5357 S Cottage Grove Ave
Chicago, IL 60615-3617

Call (773) 535-1837 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659214815

Keon McCottrell's National Provider Identifier is 1659214815, issued on Apr 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Apr 13, 2026.