Organization
COGENT HEALTHCARE OF ILLINIOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON GREENO MD (SOLE MEMBER)
(615) 377-5600
Entity
Organization
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(309) 268-3590
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 371-5763
(888) 241-1404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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