Cheng, Gloria Y

Cheng, Gloria Y is an individual health care provider with primary practice located at 515 East Grant Street Suite 111, Macomb IL 61455-3315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cheng, Gloria Y can be contacted via phone (309) 837-9926.

Contact Information

Primary practice address
515 East Grant Street Suite 111 Macomb IL 61455-3315
Fax: (309) 833-1417
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1710962048
LBN Legal business name Cheng, Gloria Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jan 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710962048 NPPES
Illinois Other 05532012 BCBS OF IL

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