Cep America - Illinois Snf, LLP

NPI #1003375270 in Lebanon, Illinois

Provider Information

NPI Number: 1003375270
Entity Type: Organization
Organization Name: Cep America - Illinois Snf, LLP
Primary Specialty: Internal Medicine
Enumeration Date: Mar 18, 2019
Last Updated: Mar 30, 2020

Practice Location

Address: 1 PERRYMAN ST
City: Lebanon
State: Illinois
ZIP Code: 62254-1356
Phone: (618) 537-6165

Authorized Official

Name: DAVID BIRDSALL, M.D
Title: ADMINISTRATIVE VP OF OPERATIONS
Phone: (510) 350-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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