Organization
CEPAMERICA ILLINOIS 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
1431 N CLAREMONT AVE, CHICAGO, IL 60622-1702
(773) 278-2000
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1826
(510) 350-2638
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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