Organization
CEP AMERICA - ILLINOIS SNF, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL (VP OF OPERATIONS)
(510) 350-2600
Entity
Organization
Contact information
Practice address
100 ROSEWOOD VILLAGE DR, SWANSEA, IL 62226-2301
(618) 236-1391
Mailing address
2100 POWELL ST, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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