Individual
FAHRETTIN COVUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 N BELL SCHOOL RD, ROCKFORD, IL 61114-6624
(779) 696-9400
Mailing address
1310 N MISSOURI AVE, PEORIA, IL 61603-3105
(309) 308-3800
(309) 623-2330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036163788
IL
207RH0000X
Hematology (Internal Medicine) Physician
036163788
IL
207RH0003X
Hematology & Oncology Physician
Primary
036163788
IL
207RX0202X
Medical Oncology Physician
036163788
IL
Other
Enumeration date
04/14/2017
Last updated
02/24/2026
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