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KEON MCCOTTRELL
NPI 1659214815
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 13, 2026
5357 S COTTAGE GROVE AVE, CHICAGO, IL 60615(773) 535-1837 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keon Mccottrell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEON MCCOTTRELL (NPI 1659214815) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1659214815
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEON MCCOTTRELL
Location Address5357 S COTTAGE GROVE AVEChicago, IL 60615-3617
Mailing Address5357 S Cottage Grove AveChicago, IL 60615-3617
Phone(773) 535-1837
Sole ProprietorNo
Enumeration DateApril 13, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1659214815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
5357 S COTTAGE GROVE AVE, Chicago, IL 60615
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keon Mccottrell's NPI number?

The NPI number for Keon Mccottrell is 1659214815. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Keon Mccottrell located?

Keon Mccottrell practices at 5357 S Cottage Grove Ave, Chicago, IL 60615. The listed phone number is (773) 535-1837.

What is Keon Mccottrell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Keon Mccottrell was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.