Organization
CEP AMERICA - ILLINOIS SNF LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A BIRDSALL (ADMINISTRATIVE VICE PRESIDENT OF OP)
(510) 851-7552
Entity
Organization
Contact information
Practice address
6277 CENTER GROVE RD, EDWARDSVILLE, IL 62025-3309
(618) 659-0605
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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