Organization · NPI-2

Cep America - Illinois Snf, LLP

Internal Medicine · Swansea, IL

NPI number1972031706
StatusActive
Last updated in NPPESMay 24, 2017

Details

NPI
1972031706
Entity type
Organization (NPI-2)
Legal business name
Cep America - Illinois Snf, LLP
Organization subpart
No
Enumeration date
May 24, 2017
Last updated
May 24, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

100 Rosewood Village Dr
Swansea, IL 62226-2301

Phone 618-236-1391

Mailing address

2100 Powell St
Emeryville, CA 94608-1826

Phone 510-350-2600

Authorized official

David Birdsall
Vp Of Operations
5103502600

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