Glennetta M Coleman (NPI# 1063449296, PAC ID# 8325044969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1063449296 |
| PAC ID by PECOS | 8325044969 |
| Professional Enrollment ID | I20061004000666 |
| Full Name | Glennetta M Coleman |
| Address |
1893 Daimler Rd Rockford IL 61112-1081 |
| Gender | F |
| Credential | MD |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140239 | ROCKFORD MEMORIAL HOSPITAL |
| 140233 | OSF SAINT ANTHONY MEDICAL CENTER |
| 140228 | SWEDISH AMERICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1893 Daimler Rd, Rockford, IL 61112-1081 |
| Street Address |
1893 DAIMLER RD |
| City | ROCKFORD |
| State | IL |
| Zip | 61112-1081 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wingyin Hui | Optometry | Facchiano and Associates PC | E265 Cherryvale Mall, Rockford, IL 61112 |
| James C Wooldridge | Optometry | Wooldridge Optometry LLC | 7200 Harrison Ave, E265, Rockford, IL 61112-1017 |
| Mark E Carlson | Orthopedic Surgery | Carlson Orthopedic Clinic Sc | 1848 Daimler Rd, Suite 1, Rockford, IL 61112-1019 |
| Kelly L Magoon | Physician Assistant | Carlson Orthopedic Clinic Sc | 1848 Daimler Rd, Rockford, IL 61112-1019 |
| Brant D Hulsebus | Chiropractic | Hulsebus Rockford Chiropractic | 1877 Daimler Rd, Rockford, IL 61112-1098 |
| Craig A Stear Jr. | Chiropractic | Hulsebus Rockford Chiropractic | 1877 Daimler Rd, Rockford, IL 61112-1098 |
| Joshua Berven | Chiropractic | Hulsebus Rockford Chiropractic | 1877 Daimler Rd, Rockford, IL 61112-1098 |
| Nathaniel Hays | Chiropractic | Hulsebus Rockford Chiropractic | 1877 Daimler Rd, Rockford, IL 61112-1098 |
| City | ROCKFORD |
| Zip Code | 61112 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ROCKFORD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Glennetta M Coleman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.