Coleman Clinic, Inc.

NPI #1962002832 in Rockford, Illinois

Provider Information

NPI Number: 1962002832
Entity Type: Organization
Organization Name: Coleman Clinic, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Oct 29, 2020
Last Updated: Jan 18, 2021

Practice Location

Address: 1893 DAIMLER RD STE A
City: Rockford
State: Illinois
ZIP Code: 61112-1081
Phone: (815) 227-0055

Authorized Official

Name: DR. GLENNETTA COLEMAN, MD
Title: OWNER
Phone: (815) 227-0055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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