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DENNIS MICHAEL CORCORAN M.D. NPI 1861472631


NPI Information

NPI: 1861472631
Provider Name: DENNIS MICHAEL CORCORAN, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Address:
351 EXECUTIVE PKWY
ROCKFORD, IL
ZIP 61107
Phone: (815) 398-4057
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Dennis Michael Corcoran, M.D. is an urology in Rockford, IL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Dennis Michael Corcoran, M.D. NPI is 1861472631. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

351 EXECUTIVE PKWY
ROCKFORD, IL
ZIP 61107-339
Phone: (815) 398-4057
Fax: (815) 398-0220

The enumeration date for this NPI number is 1/18/2006 and was last updated on 11/19/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology036054674ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C37324MEDICARE UPINILLINOIS
20330930001MEDICARE NSCILLINOIS
3036054674MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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