Holgado-Cocjin, Ma Luciana

Holgado-Cocjin, Ma Luciana is an individual health care provider with primary practice located at 3310 W Main St Suite 200, St Charles IL 60175-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Holgado-Cocjin, Ma Luciana can be contacted via phone (630) 897-6044.

Contact Information

Primary practice address
3310 W Main St Suite 200 St Charles IL 60175-1000
Fax: (630) 897-0180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36087662 Illinois

Profile Details

NPI number 1164407508
LBN Legal business name Holgado-Cocjin, Ma Luciana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Nov 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164407508 NPPES
Illinois MEDICAID 036087662

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