PC Associates, LLC

NPI #1619280112 in Smithton, Illinois

Provider Information

NPI Number: 1619280112
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: Jul 26, 2010
Last Updated: Feb 19, 2013

Practice Location

Address: 4017 ILLINIOS RT. 159
Address 2: STE 101
City: Smithton
State: Illinois
ZIP Code: 62285
Phone: (618) 257-2875

Authorized Official

Name: JAMES B. DAVIS
Title: EXECUTIVE DIRECTOR
Phone: (618) 257-4644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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