Provider Demographics
NPI:1346879798
Name:COTSHOTT, ALLISON (RN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:COTSHOTT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:ESTERLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1300 S WHITE OAK DR APT 827
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-8352
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1300 S WHITE OAK DR APT 827
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-8352
Practice Address - Country:US
Practice Address - Phone:224-935-6564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041458978163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse