Glennetta Coleman Md And Associates, Ltd in Rockford - Specialist

Glennetta Coleman Md And Associates, Ltd - NPI 1184667438

Glennetta Coleman Md And Associates, Ltd is a Specialist in Rockford, Illinois. Glennetta Coleman Md And Associates, Ltd practices all healthcare services and medical treatments related to Specialist. The NPI Number for Glennetta Coleman Md And Associates, Ltd is 1184667438. The last update date is 2023-08-01.

Glennetta Coleman Md And Associates, Ltd's current location address is 1893 Daimler Rd, Rockford, Illinois. You can contact this provider via phone number 8152270055 and fax number 8152270050. The mailing address for Glennetta Coleman Md And Associates, Ltd is 1893 Daimler Rd, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Glennetta Coleman Md And Associates, Ltd
Address 1893 Daimler Rd, Rockford, Illinois
Phone Number 8152270055
Fax Number 8152270050
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Morales Tricia
Telephone Number 8152270055

NPI Number Detail

NPI Number 1184667438
Provider Enumeration Date 2006-06-14
Last Updated Date 2023-08-01

Provider Mailing Address Detail

Address 1893 Daimler Rd
City Rockford
State Illinois (IL)
Post Code 611121081
Phone Number 8152270055
Fax Number 8152270050

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 36067471
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
31603167 IL BCBS OF ILLINOIS
036-06741 IL --

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FAQs about Glennetta Coleman Md And Associates, Ltd

What is the Glennetta Coleman Md And Associates, Ltd's 1184667438?

The Glennetta Coleman Md And Associates, Ltd's NPI (National Provider Identifier) Number is 1184667438. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Glennetta Coleman Md And Associates, Ltd is physically located?

The Glennetta Coleman Md And Associates, Ltd is physically situated at the following address: 1893 Daimler Rd, Rockford, IL, 611121081.

What is Glennetta Coleman Md And Associates, Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Glennetta Coleman Md And Associates, Ltd is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the Glennetta Coleman Md And Associates, Ltd receive its 1184667438 assignment from the Centers for Medicare & Medicaid Services?

The Glennetta Coleman Md And Associates, Ltd was assigned its 1184667438 by the Centers for Medicare & Medicaid Services on 2006-06-14.

As of what date was the information pertaining to Glennetta Coleman Md And Associates, Ltd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Glennetta Coleman Md And Associates, Ltd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-08-01.

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