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 |
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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 |
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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 |
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Provider Enumeration Date | 10/24/2017 |
Last Update Date | 10/24/2017 |
Identifier | Type | State | Issuer |
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1831601376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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