Individual provider · Type 1 NPI

Carlos Rodolfo Bocanegra Cordova, PA-C

Physician Assistant · Champaign, IL

NPI number 1376166264 Active

Practice location

819 Bloomington Rd
Champaign, IL 61820-2101

Call (217) 356-1558 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.007669 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1376166264

Carlos Rodolfo Bocanegra Cordova, PA-C's National Provider Identifier is 1376166264, issued on May 26, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Champaign, IL. The record was last updated on Jun 17, 2020.