| Pc Associates, Llc | |
|
1095 Beltline Road Suite 500 Collinsville IL 62234 | |
| (618) 343-6005 | |
| (618) 343-9114 |
| Full Name | Pc Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1095 Beltline Road, Collinsville, Illinois |
| Authorized Official Name and Position | James Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6182574644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pc Associates, Llc 4500 Memorial Drive Medical Affairs Credentialing Department Belleville IL 62226 Ph: (618) 257-4644 | Pc Associates, Llc 1095 Beltline Road Suite 500 Collinsville IL 62234 Ph: (618) 343-6005 |
| NPI Number | 1205361110 |
|---|---|
| Provider Enumeration Date | 04/28/2017 |
| Last Update Date | 04/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205361110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036113800 (Illinois) | Primary |
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