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Organization
GLENNETTA COLEMAN MD AND ASSOCIATES, LTD
Active
Organization
GLENNETTA COLEMAN MD AND ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA OLAGUES RN (PRACTICE MANAGER)
(815) 227-0055
Entity
Organization
Contact information
Practice address
1983 DAIMLER ROAD, ROCKFORD, IL 61112-1081
(815) 227-0055
(815) 227-0050
Mailing address
1893 DAIMLER RD, ROCKFORD, IL 61112-1081
(815) 227-0055
(815) 227-0050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
06/14/2006
Last updated
08/06/2024
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