Organization
CEPAMERICA ILLINOIS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (ADMINISTRATIVE VP OF OPERATIONS)
(510) 851-7493
Entity
Organization
Contact information
Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 990-5300
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(510) 851-7493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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