Cep America - Illinois Snf, LLP
NPI #1831601376 in Granite City, Illinois
Provider Information
- NPI Number
- 1831601376
- Entity Type
- Organization
- Organization Name
- Cep America - Illinois Snf, LLP
- Primary Specialty
- Internal Medicine - Infectious Disease
- Enumeration Date
- Oct 24, 2017
- Last Updated
- Oct 24, 2017
Practice Location
- Address
- 2100 MADISON AVE
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4713
- Phone
- (618) 798-3128
Authorized Official
- Name
- DAVID BIRDSALL, MD
- Title
- ADMINISTRATIVE VP OF OPERATIONS
- Phone
- (510) 350-2680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Infectious Disease — Infectious Disease |
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