MEDICARE: FELICIA COTTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1467172403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA COTTON

Provider Business Mailing Address
First Line	:	1417 S 14TH AVE
Second Line	:
City	:	MAYWOOD
State	:	IL
Zip	:	60153-1836
Country	:	US
Telephone Number	:	708-541-9837
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 S CANAL ST STE 1375
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-5058
Country	:	US
Telephone Number	:	708-541-9837
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2022
Last Update Date	:	05/23/2025

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Directions to “ FELICIA COTTON ” Practice Location

Language	Start Address	Practice Location

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