Organization
CEP AMERICA - ILLINOIS SNF, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (ADMINISTRATIVE VP OF OPERATIONS)
(510) 350-2680
Entity
Organization
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 288-5711
Mailing address
2100 POWELL ST, EMERYVILLE, CA 94608-1826
(510) 350-2680
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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