Glennetta Coleman Md And Associates, Ltd

LBN: Glennetta Coleman Md And Associates, Ltd
Glennetta Coleman Md And Associates, Ltd is an health care organization with primary practice located at 1983 Daimler Road , Rockford IL 61112-1081. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Glennetta Coleman Md And Associates, Ltd can be contacted via phone (815) 227-0055, or through Morales, Tricia via phone (815) 227-0055.

Contact Information

Primary practice address
1983 Daimler Road Rockford IL 61112-1081
Phone: (815) 227-0055
Fax: (815) 227-0050
Website:
Map and Directions
Authorized official contact:
Name: Morales, Tricia
Phone: (815) 227-0055

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036067471 Illinois

Profile Details

NPI number 1184667438
LBN Legal business name Glennetta Coleman Md And Associates, Ltd
DBA Doing business as
Authorized official Morales, Tricia
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Aug 1st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184667438 NPPES
Illinois Other 0031603167 BCBS OF ILLINOIS
Illinois MEDICAID 036-06741 BCBS OF ILLINOIS

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