Cep America - Illinois Snf, LLP

NPI #1174151112 in Alton, Illinois

Provider Information

NPI Number: 1174151112
Entity Type: Organization
Organization Name: Cep America - Illinois Snf, LLP
Primary Specialty: Internal Medicine
Enumeration Date: Mar 27, 2020
Last Updated: Mar 27, 2020

Practice Location

Address: 3523 WICKENHAUSER AVE
City: Alton
State: Illinois
ZIP Code: 62002-2118
Phone: (618) 465-8887

Authorized Official

Name: DAVID BIRDSALL
Title: ADMINISTRATIVE VP OF OPERATIONS
Phone: (510) 350-2638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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