| Cep America - Illinois Snf, Llp | |
|
2100 Madison Ave Granite City IL 62040-4713 | |
| (618) 798-3128 | |
| Not Available |
| Full Name | Cep America - Illinois Snf, Llp |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2100 Madison Ave, Granite City, Illinois |
| Authorized Official Name and Position | David Birdsall (ADMINISTRATIVE VP OF OPERATIONS) |
| Authorized Official Contact | 5103502680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America - Illinois Snf, Llp 2100 Powell St Ste 900 Emeryville CA 94608-1844 Ph: (510) 350-2680 | Cep America - Illinois Snf, Llp 2100 Madison Ave Granite City IL 62040-4713 Ph: (618) 798-3128 |
| NPI Number | 1831601376 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 10/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831601376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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