PC Associates LLC
NPI #1275824096 in Belleville, Illinois
Provider Information
- NPI Number
- 1275824096
- Entity Type
- Organization
- Organization Name
- PC Associates LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PC ASSOCIATES LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 27, 2011
- Last Updated
- Feb 15, 2013
Practice Location
- Address
- 2129 W. MAIN ST.
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223
- Phone
- (618) 257-2029
Authorized Official
- Name
- LISA K. MCDONALD
- Title
- CREDENTIALING COORDINATOR
- Phone
- (618) 257-4644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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