Carlos Rodolfo Bocanegra Cordova, PA-C
Carlos Rodolfo Bocanegra Cordova, PA-C is a Physician Assistant in Champaign, Illinois. Qualified in 2020, 6 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 6
- Licensed in
- IL
- In the registry since
- 2020
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
819 Bloomington RdChampaign, IL 61820-2101
Phone: (217) 356-1558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085.007669 (IL) |
|---|
Record details
| NPI number | 1376166264 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 26, 2020 |
| Last updated in NPPES | June 17, 2020 |
| Certification date | June 17, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Carle Health Care Incorporated — 1543 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Champaign
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River Andres, PA
819 Bloomington Rd, Champaign, IL 61820-2101 · (217) 356-1558
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James Berkes, PA
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Laura Browning, PA
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Kori L Carroll, PA
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Carly Chandler
101 W University Ave, Champaign, IL 61820-3981 · (217) 366-1200
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Miss. Kessie Chandler, PA
101 W University Ave, Champaign, IL 61820-3981 · (217) 366-1248