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Organization

CEP AMERICA-ILLINOIS HOSPITALISTS, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID BIRDSALL (ADMINISTRATIVE VP OF OPERATIONS)
(510) 350-2638
Entity
Organization

Contact information

Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1826
(510) 350-2638

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
05/21/2021
Last updated
06/22/2021
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