| Cep America - Illinois Snf, Llp | |
|
1 Perryman St Lebanon IL 62254-1356 | |
| (618) 537-6165 | |
| Not Available |
| Full Name | Cep America - Illinois Snf, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Perryman St, Lebanon, Illinois |
| Authorized Official Name and Position | David Birdsall (ADMINISTRATIVE VP OF OPERATIONS) |
| Authorized Official Contact | 5103502600 |
| 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) 350-2600 | Cep America - Illinois Snf, Llp 1 Perryman St Lebanon IL 62254-1356 Ph: (618) 537-6165 |
| NPI Number | 1003375270 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 03/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003375270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |