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COLEMAN CLINIC, INC.
NPI 1962002832
Internal Medicine in Rockford, IL

Active since October 29, 2020
1893 DAIMLER RD STE A, ROCKFORD, IL 61112(815) 227-0055(815) 227-0050 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2021, Oct 29, 2020 (2 updates tracked since 2020).

About Coleman Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLEMAN CLINIC, INC. (NPI 1962002832), doing business as Coleman Clinic, is a healthcare organization registered as an internal medicine in Rockford, Illinois and active in the NPI registry since October 2020. The organization lists Glennetta Coleman, Owner, as its authorized official.

NPPES Registry Identity

NPI1962002832
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOLEMAN CLINIC, INC.
Location Address1893 DAIMLER RD STE ARockford, IL 61112-1081
Mailing Address1893 Daimler Rd Ste ARockford, IL 61112-1081 · (815) 227-0055 · Fax (815) 227-0050
Phone(815) 227-0055
Fax(815) 227-0050
Organization SubpartNo
Authorized OfficialGlennetta ColemanOwner · (815) 227-0055
Enumeration DateOctober 29, 2020
Last NPPES UpdateJanuary 18, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2021
✔ NPI 1962002832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1893 DAIMLER RD STE A, Rockford, IL 61112
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Other Names 1

Doing Business AsColeman Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coleman Clinic, Inc.'s NPI number?

The NPI number for Coleman Clinic, Inc. is 1962002832. It was assigned to this organization in the NPPES registry on October 29, 2020. The provider is doing business as Coleman Clinic.

Where is Coleman Clinic, Inc. located?

Coleman Clinic, Inc. is located at 1893 Daimler Rd Ste A, Rockford, IL 61112. The listed phone number is (815) 227-0055.

What is Coleman Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Coleman Clinic, Inc. was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.