# CEP AMERICA - ILLINOIS SNF, LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831601376
- **Authorized official:** DAVID BIRDSALL MD (ADMINISTRATIVE VP OF OPERATIONS)
- **Authorized official phone:** (510) 350-2680

## Contact information

- **Practice address:** 2100 MADISON AVE, GRANITE CITY, IL 62040-4713
- **Practice address phone:** (618) 798-3128
- **Mailing address:** 2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
- **Mailing address phone:** (510) 350-2680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2017
- **Last updated:** 10/24/2017