Cep America - Illinois Snf, LLP

NPI #1891322467 in Godfrey, Illinois

Provider Information

NPI Number: 1891322467
Entity Type: Organization
Organization Name: Cep America - Illinois Snf, LLP
Primary Specialty: Internal Medicine
Enumeration Date: Mar 24, 2020
Last Updated: Mar 24, 2020

Practice Location

Address: 1623 W DELMAR AVE
City: Godfrey
State: Illinois
ZIP Code: 62035-1317
Phone: (618) 498-7157

Authorized Official

Name: DAVID BIRDSALL
Title: ADMINISTRATIVE VP OF OPERATIONS
Phone: (618) 498-7157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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