Provider Demographics
NPI:1568461853
Name:COTTONE, FRANCIS XAVIER (OD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:XAVIER
Last Name:COTTONE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6322 S ARCHER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60638-2521
Mailing Address - Country:US
Mailing Address - Phone:773-585-2022
Mailing Address - Fax:773-585-2027
Practice Address - Street 1:6322 S ARCHER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-2521
Practice Address - Country:US
Practice Address - Phone:773-585-2022
Practice Address - Fax:773-585-2027
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046007321152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL674790Medicare ID - Type Unspecified
ILT-37721Medicare UPIN
IL0458270001Medicare NSC
IL410019897Medicare PIN
IL674790Medicare PIN