Cogent Healthcare of Illinios, LLC

NPI #1679896906 in Normal, Illinois

Provider Information

NPI Number: 1679896906
Entity Type: Organization
Organization Name: Cogent Healthcare of Illinios, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 1, 2010
Last Updated: Mar 1, 2010

Practice Location

Address: 1304 FRANKLIN AVE
City: Normal
State: Illinois
ZIP Code: 61761-3558
Phone: (309) 268-3590

Authorized Official

Name: DR. RON GREENO, MD
Title: SOLE MEMBER
Phone: (615) 377-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Hospitalist	208M00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Clinical Nurse Specialist	364S00000X
Internal Medicine	207R00000X	Primary

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