Cep America - Illinois Snf, LLP

NPI #1972031706 in Swansea, Illinois

Provider Information

NPI Number: 1972031706
Entity Type: Organization
Organization Name: Cep America - Illinois Snf, LLP
Primary Specialty: Internal Medicine
Enumeration Date: May 24, 2017
Last Updated: May 24, 2017

Practice Location

Address: 100 ROSEWOOD VILLAGE DR
City: Swansea
State: Illinois
ZIP Code: 62226-2301
Phone: (618) 236-1391

Authorized Official

Name: DAVID BIRDSALL
Title: VP OF OPERATIONS
Phone: (510) 350-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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