Cep America - Illinois Snf, Llp | |
1 Perryman St Lebanon IL 62254-1356 | |
(618) 537-6165 | |
Not Available |
Full Name | Cep America - Illinois Snf, Llp |
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Speciality | Internal Medicine |
Location | 1 Perryman St, Lebanon, Illinois |
Authorized Official Name and Position | David Birdsall (ADMINISTRATIVE VP OF OPERATIONS) |
Authorized Official Contact | 5103502600 |
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 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2600 | Cep America - Illinois Snf, Llp 1 Perryman St Lebanon IL 62254-1356 Ph: (618) 537-6165 |
NPI Number | 1003375270 |
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Provider Enumeration Date | 03/18/2019 |
Last Update Date | 03/30/2020 |
Identifier | Type | State | Issuer |
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1003375270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |