Search › Illinois › Physician Assistant
Carlos Bocanegra Cordova, PA-C
NPI 1376166264 · on the registry since 2020
Practice
- Address
- 819 Bloomington Rd
Champaign, IL 61820 - Phone
- (217) 356-1558
- Organisation at this address
- Promise Healthcare
Promise Healthcare Nfp
Promise Healthcare Nfp
Promise Healthcare Nfp
Promise Healthcare NfpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois