Pc Associates, Llc | |
1414 Cross St Ste 230 Shiloh IL 62269-2988 | |
(618) 624-6181 | |
(618) 624-7172 |
Full Name | Pc Associates, Llc |
---|---|
Speciality | Family Medicine |
Location | 1414 Cross St Ste 230, Shiloh, Illinois |
Authorized Official Name and Position | James B 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 Dr Belleville IL 62226-5360 Ph: (618) 257-4644 | Pc Associates, Llc 1414 Cross St Ste 230 Shiloh IL 62269-2988 Ph: (618) 624-6181 |
NPI Number | 1881117125 |
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Provider Enumeration Date | 07/19/2017 |
Last Update Date | 07/19/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881117125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1404 Cross St, Shiloh, IL 62269 Phone: 618-257-5644 |