Glennetta Coleman in Rockford - Internal Medicine
Glennetta Coleman - NPI 1063449296
Glennetta Coleman is a Internal Medicine in Rockford, Illinois. Glennetta Coleman practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Glennetta Coleman is 1063449296. The last update date is 2023-08-01.
Glennetta Coleman'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 is 1893 Daimler Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glennetta Coleman |
|---|---|
| Address | 1893 Daimler Rd, Rockford, Illinois |
| Phone Number | 8152270055 |
| Fax Number | 8152270050 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063449296 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| 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 | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36037471 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036-06741 | IL | -- | |
| 31603167 | IL | BCBS OF ILLINOIS |
Post Comment/ Review Below
What is the Glennetta Coleman's unique identification number?
The Glennetta Coleman has been assigned the NPI (National Provider Identifier) Number 1063449296 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Glennetta Coleman?
The Glennetta Coleman is physically situated at 1893 Daimler Rd, in the city of Rockford, state of IL, with the postal code 611121081.
What is Glennetta Coleman's area of expertise and its corresponding taxonomy classification?
The Glennetta Coleman's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Glennetta Coleman receive the assignment of its 1063449296 from the Centers for Medicare & Medicaid Services?
The Glennetta Coleman was issued its 1063449296 by the Centers for Medicare & Medicaid Services on 2006-06-26.
When was the information related to Glennetta Coleman most recently updated or refreshed?
The details pertaining to the Glennetta Coleman, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-08-01.