| Cep America-illinois Hospitalists, Llp | |
|
1 Saint Elizabeth Blvd O Fallon IL 62269-1099 | |
| (618) 234-2120 | |
| Not Available |
| Full Name | Cep America-illinois Hospitalists, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Saint Elizabeth Blvd, O Fallon, Illinois |
| Authorized Official Name and Position | David Birdsall (ADMINISTRATIVE VP OF OPERATIONS) |
| Authorized Official Contact | 5103502638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America-illinois Hospitalists, Llp 2100 Powell St Ste 400 Emeryville CA 94608-1826 Ph: (510) 350-2638 | Cep America-illinois Hospitalists, Llp 1 Saint Elizabeth Blvd O Fallon IL 62269-1099 Ph: (618) 234-2120 |
| NPI Number | 1093380180 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 06/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093380180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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