PC Associates, LLC
Internal Medicine in Belleville, IL. Organization (NPI-2).
NPI number1881908135
StatusActive
Last updated in NPPESFeb 25, 2013
Details
- NPI
- 1881908135
- Entity type
- Organization (NPI-2)
- Legal business name
- PC Associates, LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 28, 2010
- Last updated
- Feb 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
4600 Memorial DrSte 440
Belleville, IL 62226-5368
Phone 618-236-8000 · Fax 618-236-8005
Mailing address
4500 Memorial DrMedical Affairs Credentialing Department
Belleville, IL 62226-5360
Phone 618-257-4644 · Fax 618-257-6946
Authorized official
James B. Davis
Executive Director
6182574644
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