| Cep America - Illinois Snf, Llp | |
|
1623 W Delmar Ave Godfrey IL 62035-1317 | |
| (618) 498-7157 | |
| Not Available |
| Full Name | Cep America - Illinois Snf, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1623 W Delmar Ave, Godfrey, Illinois |
| Authorized Official Name and Position | David Birdsall (ADMINISTRATIVE VP OF OPERATIONS) |
| Authorized Official Contact | 6184987157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America - Illinois Snf, Llp 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2638 | Cep America - Illinois Snf, Llp 1623 W Delmar Ave Godfrey IL 62035-1317 Ph: (618) 498-7157 |
| NPI Number | 1891322467 |
|---|---|
| Provider Enumeration Date | 03/24/2020 |
| Last Update Date | 03/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891322467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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